Konikoff, Bryan M
Konikoff, Bryan M is an individual health care provider with primary practice located at 477 Viking Dr Suite 190, Virginia Beach VA 23452-7349. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Konikoff, Bryan M can be contacted via phone (757) 486-8181.Contact Information
Primary practice address
477 Viking Dr Suite 190
Virginia Beach VA 23452-7349
Phone: (757) 486-8181
Fax: (757) 463-0148
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Periodontics | 1223P0300X | 0401410766 | Virginia |
Profile Details
NPI number | 1427072404 |
---|---|
LBN Legal business name | Konikoff, Bryan M |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2006 |
Last updated | Sep 6th, 2007 - about 17 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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