MEDICARE: HARMONY DENTAL GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	0401410783	VA
2	1223G0001X	General Practice Dentistry	0401006170	VA

General Provider Information

NPI Number	:	1891119277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HARMONY DENTAL GROUP

Provider Business Mailing Address
First Line	:	401 GREEN MEADOWS DR
Second Line	:	SUITE B
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5740
Country	:	US
Telephone Number	:	757-495-8775
Fax Number	:	757-495-3199

Provider Business Practice Location Address
First Line	:	401 GREEN MEADOWS DR
Second Line	:	SUITE B
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23462-5740
Country	:	US
Telephone Number	:	757-495-8775
Fax Number	:	757-495-3199

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KAIPING XU
Credential	:
Telephone Number	:	757-495-8775

Provider Enumeration Date	:	02/06/2014
Last Update Date	:	02/06/2014

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Directions to “HARMONY DENTAL GROUP ” Practice Location

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