| Cusp Dental Boutique | |
|
4440 Shore Dr Ste 100 Virginia Beach VA 23455-2822 | |
| (757) 904-4347 | |
| (757) 904-4374 |
| Full Name | Cusp Dental Boutique |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4440 Shore Dr Ste 100, Virginia Beach, Virginia |
| Authorized Official Name and Position | Zaneta Hamlin (MANAGING DENTIST/OWNER) |
| Authorized Official Contact | 7579044347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cusp Dental Boutique 4440 Shore Dr Ste 100 Virginia Beach VA 23455-2822 Ph: (757) 904-4347 | Cusp Dental Boutique 4440 Shore Dr Ste 100 Virginia Beach VA 23455-2822 Ph: (757) 904-4347 |
| NPI Number | 1659964310 |
|---|---|
| Provider Enumeration Date | 02/14/2021 |
| Last Update Date | 01/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659964310 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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