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Organization

ABINGDON PEDIATRIC DENTISTRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EVELYN M ROLON D.M.D. (PEDIODONTIST)
(276) 739-7942
Entity
Organization

Contact information

Practice address
465 W MAIN ST, ABINGDON, VA 24210-2630
(276) 739-7942
(276) 739-7943
Mailing address
PO BOX 1925, 465 W. MAIN STREET, ABINGDON, VA 24212-1925
(276) 739-7942
(276) 739-7943

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401410901
VA

Other

Enumeration date
07/11/2011
Last updated
07/11/2011
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