| Lynne C. Faxio, DDS, P.C. | |
|
2999 Corporate Ln Suite B11 Suffolk VA 23434-8478 | |
| (757) 934-6040 | |
| (757) 934-6042 |
| Full Name | Lynne C. Faxio, DDS, P.C. |
|---|---|
| Speciality | Dentist |
| Location | 2999 Corporate Ln, Suffolk, Virginia |
| Authorized Official Name and Position | Lynne C. Faxio (OWNER) |
| Authorized Official Contact | 7579346040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lynne C. Faxio, DDS, P.C. 2999 Corporate Ln Suite B11 Suffolk VA 23434-8478 Ph: (757) 934-6040 | Lynne C. Faxio, DDS, P.C. 2999 Corporate Ln Suite B11 Suffolk VA 23434-8478 Ph: (757) 934-6040 |
| NPI Number | 1992006449 |
|---|---|
| Provider Enumeration Date | 11/14/2010 |
| Last Update Date | 12/03/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992006449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (NU) | Primary |
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