Individual
DR. R. KEVIN GREENWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
614 E.WASHINGTON AVE., VINTON, VA 24179
(540) 342-2949
(540) 345-3919
Mailing address
P.O.BOX 368, VINTON, VA 24179
(540) 342-2949
(540) 345-3919
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007925
VA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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