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Organization
NELSON COUNTY DENTAL CLINIC
Active
Organization
NELSON COUNTY DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LILIAN R PEAKE MD (DIRECTOR)
(434) 972-6219
Entity
Organization
Contact information
Practice address
1138 ROSE HILL DR, CHARLOTTESVILLE, VA 22903-5128
(434) 972-6219
(434) 972-4310
Mailing address
PO BOX 7546, CHARLOTTESVILLE, VA 22906-7546
(434) 972-6219
(434) 972-4310
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
NULL
1223D0001X
Public Health Dentistry
Primary
—
—
Other
Enumeration date
03/20/2007
Last updated
08/22/2020
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