# SHENANDOAH DENTAL CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124265699
- **Authorized official:** MRS. PAM MURPHY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (540) 459-1700

## Contact information

- **Practice address:** 781 SPRING PKWY, WOODSTOCK, VA 22664-1605
- **Practice address phone:** (540) 459-1700
- **Mailing address:** 781 SPRING PKWY, WOODSTOCK, VA 22664-1605
- **Mailing address phone:** (540) 459-1700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/20/2009
- **Last updated:** 01/20/2009