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Organization
CULPEPER KIDS DENTISTRY, PLLC
Active
Organization
CULPEPER KIDS DENTISTRY, PLLC
Active
Other names
Culpeper Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN CASTASUS AMANTE DMD (MANAGING MEMBER)
(206) 427-2977
Entity
Organization
Contact information
Practice address
18474 CROSSROAD PKWY, CULPEPER, VA 22701-4112
(540) 445-0271
Mailing address
18474 CROSSROAD PKWY, CULPEPER, VA 22701-4112
(540) 445-0271
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413425
VA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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