Organization
SHENANDOAH ENDODONTICS LLC
Active
Other names
shenandoah Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIEGO BARRETO ANDRADE D.D.S (MANAGER)
(407) 580-5443
Entity
Organization
Contact information
Practice address
1800 PLAZA DR, WINCHESTER, VA 22601-6365
(540) 779-0101
Mailing address
2623 MIDDLE RD, WINCHESTER, VA 22601-6400
(407) 580-5443
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1881981439
VA
Other
Enumeration date
06/09/2018
Last updated
06/09/2018
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