Whalio Doctors

NPI 1053171462

Radiant Flux PLLC

Organisation Dentist Virginia Beach, VA

Practice location

Address
700 Independence Cir STE 3b, Virginia Beach, VA 23455-6405
Phone
(757) 929-7100
Fax
(757) 929-7097
Mailing address
1301 Bridgeport Way Suite 109, Suffolk, VA 23435

Authorised official

Name
Brian Gene Briesemeister
Title
Owner
Phone
(757) 929-7100

Registered specialties (2)

Dentist Primary
Dental Providers Taxonomy 122300000X
Customized Equipment (DME)
Suppliers Taxonomy 332BC3200X

Registry record

NPI
1053171462
Entity type
Organization
NPI issued
21 Mar 2024
Record last updated
21 Mar 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.