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Organization
COLLINSVILLE DENTAL ASSOCIATES, PC
Active
Organization
COLLINSVILLE DENTAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA DILLON PAYNE (ADMINISTRATOR)
(434) 548-4305
Entity
Organization
Contact information
Practice address
4940 KINGS MOUNTAIN RD, COLLINSVILLE, VA 24078-1812
(276) 634-1494
Mailing address
5003 COBBLESTONE DRIVE, DANVILLE, VA 24540-5255
(434) 548-5105
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/09/2019
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