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Organization
SHENANDOAH ENDODONTICS LLC
Active
Organization
SHENANDOAH ENDODONTICS LLC
Active
Other names
shenandoah Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO BARRETO ANDRADE D.D.S (MANAGER)
(407) 580-5443
Entity
Organization
Contact information
Practice address
1800 PLAZA DR, WINCHESTER, VA 22601-6365
(540) 779-0101
Mailing address
2623 MIDDLE RD, WINCHESTER, VA 22601-6400
(407) 580-5443
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1881981439
VA
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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