Individual
MRS. CHRISTINE ELISE DESCHAMBAULT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
16862 FOREST ROAD, FOREST, VA 24551
(434) 944-9763
Mailing address
16862 FOREST ROAD, FOREST, VA 24551
(434) 944-9763
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402205902
VA
Other
Enumeration date
03/10/2015
Last updated
03/10/2015
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