# HEAVENLY SMILES DENTISTRY, PLLC

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

## Provider details

- **NPI number:** 1487966339
- **Authorized official:** DR. JUAN ANTONIO ROJAS D.D.S. (DENTIST)
- **Authorized official phone:** (804) 892-1330

## Contact information

- **Practice address:** 1100A BOULEVARD, COLONIAL HEIGHTS, VA 23834-3001
- **Practice address phone:** (804) 892-1330
- **Mailing address:** PO BOX 1059, COLONIAL HEIGHTS, VA 23834-1059
- **Mailing address phone:** (804) 892-1330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | 0401412139 | VA | Yes |

## Other

- **Enumeration date:** 07/08/2010
- **Last updated:** 07/08/2010