Organization
DC ON WHEELS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEMETRIOS A. KYDONIEUS DC (OWNER)
(540) 308-1702
Entity
Organization
Contact information
Practice address
8902 SEMINOLE TRL, RUCKERSVILLE, VA 22968-3318
(540) 308-1702
Mailing address
8902 SEMINOLE TRL, RUCKERSVILLE, VA 22968-3318
(540) 308-1702
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556817
VA
Other
Enumeration date
07/14/2009
Last updated
01/06/2012
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