Organization
BLUE COMFORT DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THUY-VAN NGUYEN (PRESIDENT)
(571) 338-3736
Entity
Organization
Contact information
Practice address
3277 S CRATER RD STE C, PETERSBURG, VA 23805-9285
(804) 733-8446
Mailing address
1671 HIGHLANDON CT, STATE COLLEGE, PA 16801-4356
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415827
VA
Other
Enumeration date
03/06/2018
Last updated
03/06/2018
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