Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Tinker Creek Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
3911 CHALLENGER AVE, ROANOKE, VA 24012-6733
(540) 581-8095
(540) 581-8096
Mailing address
3911 CHALLENGER AVE, ROANOKE, VA 24012-6733
(540) 581-8095
(540) 581-8096
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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