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Organization

WILLIAMSON ROAD DENTAL, LLC

Active
Parent organization
SIMPLY STRAIGHT, P.C.
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIMPLY STRAIGHT, P.C.
Authorized official
DR. HENRY NARDEA D.D.S. (MEMBER)
(732) 859-3353
Entity
Organization

Contact information

Practice address
1502 WILLIAMSON RD NE, SUITE C, ROANOKE, VA 24012-5130
(540) 339-9338
(540) 400-0525
Mailing address
12 ALVORD ST, OAKHURST, NJ 07755-1152
(732) 859-3353
(732) 222-1149

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
04/20/2016
Last updated
04/20/2016
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