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Organization

DRS. HARRISON & RYAN - PETERS CREEK DENTISTRY, PLLC

Active
Other names
Peters Creek Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization

Contact information

Practice address
2945 PETERS CREEK RD NW, ROANOKE, VA 24019-3513
(540) 562-4001
Mailing address
2945 PETERS CREEK RD NW, ROANOKE, VA 24019-3513
(540) 562-4001

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
11/13/2021
Last updated
11/13/2021
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