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Organization
HARVEY DENTISTRY VTN, PC
Active
Organization
HARVEY DENTISTRY VTN, PC
Active
Other names
Blue Ridge Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY TODD HARVEY DMD (PRESIDENT)
(540) 389-0720
Entity
Organization
Contact information
Practice address
1335 HARDY RD, VINTON, VA 24179-2201
(540) 342-7865
(540) 342-7862
Mailing address
1335 HARDY RD, VINTON, VA 24179-2201
(540) 342-7865
(540) 342-7862
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
0401004058
VA
261QD0000X
Dental Clinic/Center
Primary
0401410880
VA
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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