Organization
LADYSMITH DENTAL CENTER
Active
Parent organization
LADYSMITH DENTAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LADYSMITH DENTAL CENTER
Authorized official
KELLY LYNN ROTHENBERGER (OFFICE MANAGER)
(804) 589-1491
Entity
Organization
Contact information
Practice address
18010 JEFFERSON DAVIS HWY, RUTHER GLEN, VA 22546-2922
(804) 589-1491
(804) 589-1494
Mailing address
18010 JEFFERSON DAVIS HWY, RUTHER GLEN, VA 22546-2922
(804) 589-1491
(804) 589-1494
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412257
VA
Other
Enumeration date
06/21/2013
Last updated
06/21/2013
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