Organization
GREENE CO DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACY JAMES MORRIS (DEPUTY COUNTY ADMINISTRATOR FINANCE)
(434) 985-5201
Entity
Organization
Contact information
Practice address
40 CELT ROAD, COUNTY OFFICE BUILDING, STANARDSVILLE, VA 22973
(434) 985-5217
Mailing address
PO BOX 358, 40 CELT RD, STANARDSVILLE, VA 22973
(434) 985-5217
(434) 985-1390
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401005184
VA
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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