Organization
SPA CREEK DENTAL OF VA, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER LLOYD (ACCOUNTS RECEIVABLE SPECIALIST)
(267) 691-2812
Entity
Organization
Contact information
Practice address
14540 JOHN MARSHALL HIGHWAY STE 103, GAINESVILLE, VA 20155
(267) 691-2800
(267) 691-2830
Mailing address
626 JACKSONVILLE RD STE 101, WARMINSTER, PA 18974-4861
(877) 772-3368
(267) 691-2830
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
06/04/2021
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