Individual
DR. SEAN LEON ESCHENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6027 PETERS CREEK RD, ROANOKE, VA 24019-4029
(540) 366-5373
Mailing address
6027 PETERS CREEK RD, ROANOKE, VA 24019-4029
(540) 366-5373
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DR60361086
WA
1223G0001X
General Practice Dentistry
Primary
0401414392
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/12/2013
Last updated
03/23/2016
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