Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
New Town Dental Arts
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
CASSANDRA PETERSEN (CREDENTIALING TEAM LEAD)
(217) 540-8972
Entity
Organization
Contact information
Practice address
4939 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2687
(757) 259-0741
Mailing address
4939 COURTHOUSE ST, WILLIAMSBURG, VA 23188-2687
(757) 259-0741
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/28/2017
Last updated
12/28/2017
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