Organization
HEAVENLY SMILES DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUAN ANTONIO ROJAS D.D.S. (DENTIST)
(804) 892-1330
Entity
Organization
Contact information
Practice address
1100A BOULEVARD, COLONIAL HEIGHTS, VA 23834-3001
(804) 892-1330
Mailing address
PO BOX 1059, COLONIAL HEIGHTS, VA 23834-1059
(804) 892-1330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412139
VA
Other
Enumeration date
07/08/2010
Last updated
07/08/2010
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