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Organization

PARKWAY PEDIATRIC DENTISTRY, PLLC

Active
Other names
Parkway Pediatric Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
RYAN R REOPELLE DDS (MEMBER)
(701) 212-7428
Entity
Organization

Contact information

Practice address
3650 COLONIAL AVE, ROANOKE, VA 24018-4004
(540) 989-3639
Mailing address
5907 CAVALIER DR, ROANOKE, VA 24018-3863
(701) 212-7428

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
10/31/2020
Last updated
11/02/2020
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