Organization
LAKE PLAZA DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN ARTHUR TORREY DDS (PRESIDENT/OWNER)
(540) 455-0107
Entity
Organization
Contact information
Practice address
36101 GOODWIN DR, LOCUST GROVE, VA 22508-2029
(540) 226-6744
Mailing address
11315 HIDDEN CV, SPOTSYLVANIA, VA 22551-8919
(540) 455-0107
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401007015
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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