| Hq Us Army Dental Activities | |
|
577 Sternburg Avenue Newport News VA 23604-5311 | |
| (757) 314-7944 | |
| (757) 314-7942 |
| Full Name | Hq Us Army Dental Activities |
|---|---|
| Speciality | Dentist |
| Location | 577 Sternburg Avenue, Newport News, Virginia |
| Authorized Official Name and Position | Angela Colucci (CREDENTIALS COORDINATOR) |
| Authorized Official Contact | 7573147944 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hq Us Army Dental Activities 577 Sternberg Ave Fort Eustis VA 23604-1526 Ph: (757) 314-7944 | Hq Us Army Dental Activities 577 Sternburg Avenue Newport News VA 23604-5311 Ph: (757) 314-7944 |
| NPI Number | 1134504574 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 08/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134504574 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | DN21180 (Florida) | Primary |
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