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Organization
KFD VIRGINIA INC
Active
Organization
KFD VIRGINIA INC
Active
Other names
Kids First Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT HABER ELLIS III DMD (OWNER)
(803) 413-5100
Entity
Organization
Contact information
Practice address
4903 STARKEY RD STE 300, ROANOKE, VA 24018-8525
(540) 904-2700
(540) 904-2760
Mailing address
4903 STARKEY RD STE 300, ROANOKE, VA 24018-8525
(540) 904-2700
(540) 904-2760
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/03/2019
Last updated
04/10/2024
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