Individual
WILLIAM CARVAJAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S, M.D.
Contact information
Practice address
101 ARCHWAY CT, LYNCHBURG, VA 24502-2890
(434) 832-8040
(434) 832-8041
Mailing address
101 ARCHWAY CT, LYNCHBURG, VA 24502-2890
(434) 832-8040
(434) 832-8041
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000081
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010176743
—
VA
01
—
462917
ANTHEM
VA
01
—
9179586
DORAL DENTAL
VA
Enumeration date
08/31/2006
Last updated
12/06/2011
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