Organization
PEDIATRIC DENTISTRY OF KING GEORGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN EDWARDS DMD (OWNER)
(540) 625-2007
Entity
Organization
Contact information
Practice address
10246 KINGS HWY, KING GEORGE, VA 22485-3429
(540) 625-2007
(540) 371-9539
Mailing address
1300 THORNTON ST, SUITE 101, FREDERICKSBURG, VA 22401-4654
(540) 371-3222
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401413260
VA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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