Organization
SLEEP WELLNESS ASSOCIATES OF LYNCHBURG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELENA BLACK (OWNER)
(617) 875-3106
Entity
Organization
Contact information
Practice address
3700 OLD FOREST RD, LYNCHBURG, VA 24501-6961
(434) 515-0370
(434) 338-6552
Mailing address
3700 OLD FOREST RD, LYNCHBURG, VA 24501-6961
(434) 515-0370
(434) 338-6552
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
VA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
VA
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/22/2015
Last updated
10/12/2018
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