Organization
CENTRAL VIRGINIA ORTHODONTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE EDISON BENTLEY JR. D.D.S. (PRES. CENTRAL VIRGINIA ORTHONTICS)
(434) 385-4746
Entity
Organization
Contact information
Practice address
104 RICHESON DR, LYNCHBURG, VA 24501-2905
(434) 385-4746
(434) 385-0523
Mailing address
104 RICHESON DR, LYNCHBURG, VA 24501-2905
(434) 385-4746
(434) 385-0523
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401006597
VA
Other
Enumeration date
03/28/2008
Last updated
03/28/2008
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