Organization
CROZET PEDIATRIC DENTISTRY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN CLIFFORD DDS (PRESIDENT/PEDIATRIC DENTIST)
(804) 387-2423
Entity
Organization
Contact information
Practice address
300 CLAREMONT LANE, SUITE 101, CROZET, VA 22932-3369
(434) 205-4594
(434) 205-4627
Mailing address
1005 HEATHERCROFT CIR STE 300, CROZET, VA 22932-3369
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401411881
VA
Other
Enumeration date
06/14/2013
Last updated
04/20/2022
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