Organization
PIEDMONT PEDIATRIC DENTISTRY PLC
Active
Other names
Piedmont Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
BARRETT W R PETERS DDS MSD (MEMBER/MANAGER)
(434) 973-4344
Entity
Organization
Contact information
Practice address
240 HYDRAULIC RIDGE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-8130
(434) 973-4344
(434) 973-4675
Mailing address
240 HYDRAULIC RIDGE RD, SUITE 203, CHARLOTTESVILLE, VA 22901-8130
(434) 973-4344
(434) 973-4675
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413204
VA
Other
Enumeration date
08/08/2013
Last updated
10/14/2013
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