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Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Spotsylvania Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JANE KRAKOWSKY (BUSINESS MANAGER)
(540) 899-4797
Entity
Organization
Contact information
Practice address
9104 COURTHOUSE RD, SPOTSYLVANIA, VA 22553-1902
(540) 582-7350
Mailing address
608 JACKSON ST, FREDERICKSBURG, VA 22401-5719
(540) 899-4797
(540) 899-4599
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
08/11/2006
Last updated
08/25/2008
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