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Organization
SMBA DENTISTRY, PLLC
Active
Organization
SMBA DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHIVANGI B AMIN DDS, MS (SOLE OWNER)
(804) 272-9079
Entity
Organization
Contact information
Practice address
2801 MCRAE RD STE C1, NORTH CHESTERFIELD, VA 23235-3056
(804) 272-9079
(804) 272-9107
Mailing address
2801 MCRAE RD STE C1, NORTH CHESTERFIELD, VA 23235-3056
(804) 272-9079
(804) 272-9107
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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