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Organization
NEIBAUER DENTAL CARE, P.C.
Active
Organization
NEIBAUER DENTAL CARE, P.C.
Active
Parent organization
NEIBAUER DENTAL CARE, P.C.
Other names
Embrey Mill Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
1610 PUBLIX WAY STE 120, STAFFORD, VA 22554-7783
(540) 779-0395
Mailing address
1610 PUBLIX WAY STE 120, STAFFORD, VA 22554-7783
(540) 779-0395
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
06/21/2021
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