Organization
SEDP WAYNESBORO, LLC
Active
Other names
Waynesboro Blue Ridge Dental, Waynesboro Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
JALONDA SWEENEY (DIRECTOR)
(704) 997-8878
Entity
Organization
Contact information
Practice address
41 STONERIDGE DR, WAYNESBORO, VA 22980-6523
(540) 943-5211
Mailing address
19810 W CATAWBA AVE STE A1, CORNELIUS, NC 28031-4056
(704) 997-8878
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2022
Last updated
12/13/2022
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