Organization
610 DENTAL, P.C.
Active
Other names
Comfort Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ETHEL M MILES DDS (PRESIDENT)
(540) 288-9212
Entity
Organization
Contact information
Practice address
315 GARRISONVILLE RD, SUITE 105B, STAFFORD, VA 22554-1542
(540) 288-9212
Mailing address
315 GARRISONVILLE RD, SUITE 105B, STAFFORD, VA 22554-1542
(540) 288-9212
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006823
VA
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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