Organization
BRAD SPANO DDS, P.C.
Active
Other names
South Side Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD SPANO DDS (PRESIDENT)
(434) 984-8828
Entity
Organization
Contact information
Practice address
1200 FIVE SPRINGS RD STE 101, CHARLOTTESVILLE, VA 22902-8756
(434) 984-8828
Mailing address
1200 FIVE SPRINGS RD STE 101, CHARLOTTESVILLE, VA 22902-8756
(434) 984-8828
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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