Organization
C. BEN LENNON D.D.S., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BEN LENNON D.D.S. (PRESIDENT)
(804) 725-9485
Entity
Organization
Contact information
Practice address
15613 GENERAL PULLER HWY, DELTAVILLE, VA 23043
(804) 779-9484
(804) 776-7487
Mailing address
PO BOX 736, DELTAVILLE, VA 23043-0736
(804) 776-9484
(804) 776-7487
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
401007109
VA
Other
Enumeration date
07/25/2016
Last updated
07/25/2016
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