Organization
PRO DENTAL VA 1, P.C.
Active
Other names
Prosmile
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW RUBINSON (CONTROLLER)
(732) 616-0292
Entity
Organization
Contact information
Practice address
6084 SAM SNEAD HWY, HOT SPRINGS, VA 24445-2664
(540) 684-3765
Mailing address
10 WOODBRIDGE CENTER DR STE 520, WOODBRIDGE, NJ 07095-1152
(732) 616-0292
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
05/03/2024
Last updated
05/03/2024
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