Organization
LEE FAMILY DENTAL PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ROSS SHELBURNE D.D.S. (OWNER)
(276) 546-2042
Entity
Organization
Contact information
Practice address
153 E MORGAN AVE, PENNINGTON GAP, VA 24277-2643
(276) 546-2042
(276) 546-3029
Mailing address
153 E MORGAN AVE, PENNINGTON GAP, VA 24277-2643
(276) 546-2042
(276) 546-3029
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412170
VA
Other
Enumeration date
08/27/2008
Last updated
10/01/2012
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