| Smba Dentistry, Pllc | |
|
2801 Mcrae Rd Ste C1 North Chesterfield VA 23235-3056 | |
| (804) 272-9079 | |
| (804) 272-9107 |
| Full Name | Smba Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 2801 Mcrae Rd Ste C1, North Chesterfield, Virginia |
| Authorized Official Name and Position | Shivangi B Amin (SOLE OWNER) |
| Authorized Official Contact | 8042729079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smba Dentistry, Pllc 2801 Mcrae Rd Ste C1 North Chesterfield VA 23235-3056 Ph: (804) 272-9079 | Smba Dentistry, Pllc 2801 Mcrae Rd Ste C1 North Chesterfield VA 23235-3056 Ph: (804) 272-9079 |
| NPI Number | 1164999181 |
|---|---|
| Provider Enumeration Date | 10/29/2018 |
| Last Update Date | 10/29/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164999181 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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