Individual
CHRIS G SCORDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2110 STEPHENSON AVE SW, ROANOKE, VA 24014-1660
(540) 342-5593
Mailing address
2110 STEPHENSON AVE SW, ROANOKE, VA 24014-1660
(540) 342-5593
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401002280
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401002280
LICENSE
VA
Enumeration date
05/16/2007
Last updated
07/08/2007
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