Organization
PIEDMONT REGIONAL DENTAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANDRE HINTERMANN (PRESIDENT, BOARD OF DIRECTORS)
(540) 661-0008
Entity
Organization
Contact information
Practice address
13296 JAMES MADISON HWY, ORANGE, VA 22960-2810
(540) 661-0008
Mailing address
PO BOX 151, ORANGE, VA 22960-0087
(540) 661-0008
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/02/2011
Last updated
03/02/2011
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