Individual
VINCAS SIDRYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
5000 BRAMBLETON AVE, ROANOKE, VA 24018-4642
(540) 769-6370
(540) 769-6373
Mailing address
5000 BRAMBLETON AVE, ROANOKE, VA 24018-4642
(540) 769-6370
(540) 769-6373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
019.030817
IL
1223G0001X
General Practice Dentistry
Primary
0401417389
VA
1223G0001X
General Practice Dentistry
10567
NC
Other
Enumeration date
07/07/2016
Last updated
01/13/2022
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