# DENTAL ASSOCIATES PLLC

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

## Provider details

- **NPI number:** 1417149436
- **Authorized official:** MS. RHONDA A KOSKO (MANAGER)
- **Authorized official phone:** (540) 389-0225

## Contact information

- **Practice address:** 403 ROANOKE BLVD, SALEM, VA 24153-5007
- **Practice address phone:** (540) 389-0225
- **Practice address fax:** (540) 389-3529
- **Mailing address:** 403 ROANOKE BLVD, SALEM, VA 24153-5007
- **Mailing address phone:** (540) 389-0225
- **Mailing address fax:** (540) 389-3529

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 08/14/2007
- **Last updated:** 08/14/2007