Organization
LYNCHBURG DENTAL IMPLANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SHANE R CLAIBORNE DDS (DENTIST/OWNER)
(434) 944-9763
Entity
Organization
Contact information
Practice address
16862 FOREST RD, FOREST, VA 24551
(434) 944-9763
(434) 944-9763
Mailing address
16862 FOREST RD, FOREST, VA 24551
(434) 944-9763
(434) 616-2277
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410958
VA
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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