Organization
ROANOKE CO/SALEM DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN H HOEL (BUSINESS MANAGER A)
(540) 857-7800
Entity
Organization
Contact information
Practice address
105 E. CALHOUN STREET, SALEM, VA 24153
(540) 387-5530
(540) 387-5524
Mailing address
105 E. CALHOUN STREET, PO BOX 1144, SALEM, VA 24153
(540) 387-5530
(540) 387-5524
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8450030
—
VA
Enumeration date
10/07/2006
Last updated
08/22/2020
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