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Organization
PIEDMONT PEDIATRIC DENTISTRY PLC
Active
Organization
PIEDMONT PEDIATRIC DENTISTRY PLC
Active
Parent organization
PIEDMONT PEDIATRIC DENTISTRY PLC
Other names
Piedmont Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
PIEDMONT PEDIATRIC DENTISTRY PLC
Authorized official
BARRETT W R PETERS DDS MSD (MEMBER/MANAGER)
(434) 973-4344
Entity
Organization
Contact information
Practice address
2520 W MAIN ST, WAYNESBORO, VA 22980-1614
(540) 943-3315
(540) 943-1772
Mailing address
240 HYDRAULIC RIDGE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-8130
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413204
VA
Other
Enumeration date
08/15/2013
Last updated
10/15/2013
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