Organization
MASSANUTTEN DENTAL TEAM AND ORAL SURGERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACKIE GOLLADAY (INSURANCE COORDINATOR)
(540) 432-0609
Entity
Organization
Contact information
Practice address
4100 QUARLES CT, ROCKINGHAM, VA 22801-8797
(540) 432-0609
(540) 432-9097
Mailing address
4100 QUARLES CT, ROCKINGHAM, VA 22801-8797
(540) 432-0609
(540) 432-9097
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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