institution
Marybeth Fasano Dmd Pc
Dental Clinic/Center in Virginia Beach, Virginia
NPI 1194905539

Marybeth Fasano Dmd Pc is a Dental Clinic/Center based in Virginia Beach, VA and is specialized in Dental. Marybeth Fasano Dmd Pc practices in Virginia Beach, VA. The NPI Number for Marybeth Fasano Dmd Pc is 1194905539 and holds a License No. 0401008908 (Virginia).

The current practice location address for Marybeth Fasano Dmd Pc is 984 First Colonial Rd, Virginia Beach, VA and can be reached out via phone at 757-412-2235 and via fax at 757-412-2237. You can also correspond with Marybeth Fasano Dmd Pc through the mailing address at 984 FIRST COLONIAL RD, VIRGINIA BEACH, VA - 23454-3196 (mailing address contact number: 757-412-2235).

Location: 984 First Colonial Rd, Virginia Beach, VA, 23454-3196
institution
Provider Profile Details
NPI Number
1194905539
Provider Name
Marybeth Fasano Dmd Pc
Credential
Provider Entity Type
Organization
Address
984 First Colonial Rd, Virginia Beach, VA, 23454-3196
Phone Number
757-412-2235
Fax Number
757-412-2237
Provider Enumeration Date
11/13/2007
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
980759 01 VA UNITED CONCORDIA
153899 01 VA ANTHEM
institution
Provider Business Practice Location Address Details
Address
984 First Colonial Rd
City
State
Zip
23454-3196
Phone Number
757-412-2235
Fax Number
757-412-2237
person
Provider Business Mailing Address Details
Address
984 First Colonial Rd
City
State
Zip
23454-3196
Phone Number
757-412-2235
Fax Number
757-412-2237
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
0401008908 (Virginia)
Definition
Definition to come...
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