Organization
WASHINGTON CO HEALTH DEPT DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANITA H STEVENS (BUSINESS MANAGER)
(276) 781-7451
Entity
Organization
Contact information
Practice address
15068 LEE HIGHWAY, SUITE 1000, BRISTOL, VA 24202
(276) 676-5604
(276) 645-1994
Mailing address
15068 LEE HIGHWAY, SUITE 1000, BRISTOL, VA 24202
(276) 676-5604
(276) 645-1994
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401005217
VA
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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