Organization
CULPEPER KIDS DENTISTRY, PLLC
Active
Other names
Culpeper Kids Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
ALVIN CASTASUS AMANTE DMD (MANAGING MEMBER)
(206) 427-2977
Entity
Organization
Contact information
Practice address
18474 CROSSROAD PKWY, CULPEPER, VA 22701-4112
(540) 445-0271
Mailing address
18474 CROSSROAD PKWY, CULPEPER, VA 22701-4112
(540) 445-0271
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413425
VA
Other
Enumeration date
03/29/2016
Last updated
03/29/2016
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