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General NPI Number Information
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NPI Number | 1972638559
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Entity Type | Organization
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Legal Business Name | CURRY DENTAL CENTER
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 312 LIGHTFOOT RD SUITE H
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-9004
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Country | US
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Telephone | 757-220-3450
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Fax |
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Provider Business Mailing Address
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Address Line | 312 LIGHTFOOT RD SUITE H
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City | WILLIAMSBURG
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State | VA
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Zip | 23188-9004
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Country | US
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Telephone | 757-220-3450
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. LISA JEANINE CURRY
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Credential | D.M.D.
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Telephone | 757-220-3450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 0401008935
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License Number State | VA
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