Organization
PIEDMONT DENTAL
Active
Other names
Piedmont Dental at Lake Anna
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID MICHAEL CLARK DDS (PRESIDENT/OWNER)
(540) 895-7330
Entity
Organization
Contact information
Practice address
5205 COURTHOUSE RD, SUITE 201, SPOTSYLVANIA, VA 22551-6390
(540) 895-7330
Mailing address
5205 COURTHOUSE RD, SUITE 201, SPOTSYLVANIA, VA 22551-6390
(540) 895-7330
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401411484
VA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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