Organization
CENTRAL VIRGINIA DENTAL CARE PLC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLC
Other names
Sparkle Pediatric Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Authorized official
MRS. HOLLY CHRISTEL LEWIS DMD, MS (OWNER/PEDIATRIC DENTAL SPECIALIST)
(804) 746-7382
Entity
Organization
Contact information
Practice address
8203 CENTER PATH LANE, SUITE A, MECHANICSVILLE, VA 23116-4060
(804) 746-7382
(804) 368-1448
Mailing address
8203 CENTER PATH LANE, SUITE A, MECHANICSVILLE, VA 23116-4060
(804) 746-7382
(804) 368-1448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
10/22/2021
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