Organization
SWVA DENTAL SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARA TRAIL (DIRECTOR OF OPERATION)
(540) 588-7312
Entity
Organization
Contact information
Practice address
4102 ELECTRIC RD, ROANOKE, VA 24018-0614
(540) 588-7312
Mailing address
4119 BRANDON AVE SW, ROANOKE, VA 24018-1203
(540) 772-9515
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/16/2021
Last updated
05/16/2023
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