Organization
SHENANDOAH VALLEY IMPLANT INSTITUTE OF WINCHESTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF L DICKSON DMD (OWNER)
(540) 662-6400
Entity
Organization
Contact information
Practice address
1705 AMHERST ST STE 202, WINCHESTER, VA 22601-3346
(540) 662-6400
(540) 662-8681
Mailing address
1705 AMHERST ST STE 202, WINCHESTER, VA 22601-3346
(540) 662-6400
(540) 662-8681
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
03/10/2021
Last updated
03/10/2021
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