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Organization
WAYESBORO BLUE RIDGE DENTAL PLC
Active
Organization
WAYESBORO BLUE RIDGE DENTAL PLC
Active
Other names
Waynesboro Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA HUNTER (DIRECTOR OF NETWORK RELATIONS)
(704) 780-4597
Entity
Organization
Contact information
Practice address
41 STONERIDGE DR, WAYNESBORO, VA 22980-6523
(540) 943-5202
Mailing address
19810 W CATAWBA AVE # A1, CORNELIUS, NC 28031-4056
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/22/2024
Last updated
04/09/2026
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