# WAYNESBORO CITY DENTAL CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922101393
- **Authorized official:** DR. CAMERON M HEYDARI DDS (DENTIST)
- **Authorized official phone:** (540) 949-0137

## Contact information

- **Practice address:** 211 12TH ST, WAYNESBORO, VA 22980-4772
- **Practice address phone:** (540) 949-0137
- **Practice address fax:** (540) 943-1614
- **Mailing address:** 211 12TH ST, WAYNESBORO, VA 22980-4772
- **Mailing address phone:** (540) 949-0137
- **Mailing address fax:** (540) 943-1614

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | 0401410833 | VA | Yes |

## Other

- **Enumeration date:** 09/07/2006
- **Last updated:** 08/22/2020