Organization
POWHATAN GENTLE DENTISTRY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GENEVIEVE DEVERA (DENTIST AND OWNER)
(804) 598-8951
Entity
Organization
Contact information
Practice address
2105 ACADEMY RD, UNIT J, POWHATAN, VA 23139-5829
(804) 598-8951
(804) 598-7527
Mailing address
2105 ACADEMY RD, UNIT J, POWHATAN, VA 23139-5829
(804) 598-8951
(804) 598-7527
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401410103
VA
Other
Enumeration date
04/23/2014
Last updated
05/01/2014
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