Organization
USA DENTAL PC
Active
Other names
Brilliance Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JANE HAMMOND (INSURANCE ADMINISTRATOR)
(404) 277-9891
Entity
Organization
Contact information
Practice address
9137 COURTHOUSE RD STE 100, SPOTSYLVANIA, VA 22553-1969
(540) 582-6847
Mailing address
9137 COURTHOUSE RD STE 100, SPOTSYLVANIA, VA 22553-1969
(540) 582-6847
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2022
Last updated
04/07/2022
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