Organization
SPRING CREEK FAMILY DENTISTRY & ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BERNIE E. CHISHOLM (PRACTICE ADMINISTRATOR)
(540) 832-3232
Entity
Organization
Contact information
Practice address
34 JEFFERSON COURT, GORDONSVILLE, VA 22942
(540) 832-3232
Mailing address
34 JEFFERSON COURT, GORDONSVILLE, VA 22942
(540) 832-3232
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
04010495
VA
Other
Enumeration date
12/08/2009
Last updated
09/23/2015
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