Organization
ROANOKE VALLEY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALICE BOWER D.D.S. (SOLE PROPRIETOR)
(540) 345-4894
Entity
Organization
Contact information
Practice address
1618 GRANDIN RD SW, ROANOKE, VA 24015-2308
(540) 345-4894
Mailing address
1618 GRANDIN RD SW, ROANOKE, VA 24015-2308
(540) 345-4894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413402
VA
Other
Enumeration date
12/02/2014
Last updated
12/02/2014
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