Organization
VALLEY ORAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROLINE D SHELL (OFFICE MANAGER)
(540) 774-5900
Entity
Organization
Contact information
Practice address
4437 STARKEY RD STE B, ROANOKE, VA 24018-0618
(540) 774-5900
(540) 776-3496
Mailing address
4437 STARKEY RD STE B, ROANOKE, VA 24018-0618
(540) 774-5900
(540) 776-3496
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401005671
VA
Other
Enumeration date
11/15/2007
Last updated
03/11/2008
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