Organization
PIEDMONT VIRGINIA DENTAL HEALTH FOUNDATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK ANDERSON CRABTREE D.D.S. (PRESIDENT)
(276) 632-9266
Entity
Organization
Contact information
Practice address
23 FAYETTE STREET, MARTINSVILLE, VA 24112
(276) 632-7727
Mailing address
407 STARLING AVE, MARTINSVILLE, VA 24112-3731
(276) 632-9266
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/30/2007
Last updated
08/22/2020
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