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Organization
HARVEY DENTISTRY NRKE
Active
Organization
HARVEY DENTISTRY NRKE
Active
Other names
Blue Ridge Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TODD HARVEY DMD (PRESIDENT)
(540) 904-0300
Entity
Organization
Contact information
Practice address
5049 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2075
(540) 904-0300
Mailing address
5049 VALLEY VIEW BLVD NW STE C, ROANOKE, VA 24012-2075
(540) 904-0300
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410880
VA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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