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Organization
SEDP WAYNESBORO, LLC
Active
Organization
SEDP WAYNESBORO, LLC
Active
Other names
Waynesboro Blue Ridge Dental, Waynesboro Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JALONDA SWEENEY (DIRECTOR)
(704) 997-8878
Entity
Organization
Contact information
Practice address
41 STONERIDGE DR, WAYNESBORO, VA 22980-6523
(540) 943-5211
Mailing address
19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
12/13/2022
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