Organization
VIRGINIA PEDIATRIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACQUELINE CARNEY DDS, MS (PRESIDENT)
(434) 242-5446
Entity
Organization
Contact information
Practice address
3381 DARBY RD, KESWICK, VA 22947-2706
(434) 242-5446
Mailing address
3381 DARBY ROAD, KESWICK, VA 22947
(434) 242-5446
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410463
VA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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