Estrada, Charito Mangaya

Estrada, Charito Mangaya is an individual health care provider with primary practice located at 1354 Kempsville Rd Suite 101, Chesapeake VA 23320-1416. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Estrada, Charito Mangaya can be contacted via phone (757) 548-1611.

Contact Information

Primary practice address
1354 Kempsville Rd Suite 101 Chesapeake VA 23320-1416
Phone: (757) 548-1611
Fax: (757) 548-1051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0401007715 Virginia

Profile Details

NPI number 1275686511
LBN Legal business name Estrada, Charito Mangaya
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275686511 NPPES
Virginia Other 323926 ANTHEM PROVIDER ID
Virginia Other 699529 ANTHEM PROVIDER ID

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