Organization
NEIBAUER DENTAL CARE, PC
Active
Parent organization
NEIBAUER DENTAL CARE, PC
Other names
Family Dental Care of Warrenton
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEIBAUER DENTAL CARE, PC
Authorized official
KENDRA WALKER (CREDENTIALING COORDINATOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
251 WEST LEE HWY., SUITE 197, WARRENTON, VA 20186-2047
(540) 347-9364
(540) 341-0183
Mailing address
251 WEST LEE HWY., SUITE 197, WARRENTON, VA 20186-2047
(540) 347-9364
(540) 341-0183
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414394
VA
1223G0001X
General Practice Dentistry
—
—
Other
Enumeration date
11/28/2011
Last updated
08/28/2015
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