Organization
CHARLOTTESVILLE DENTAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OPAL ANDERSON (COO)
(434) 296-8043
Entity
Organization
Contact information
Practice address
1227 CEDARS CT, CHARLOTTESVILLE, VA 22903-5801
(434) 296-8043
Mailing address
1227 CEDARS CT, CHARLOTTESVILLE, VA 22903-5801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/22/2019
Last updated
07/20/2022
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