| Virginia Pediatric Dentistry Pc | |
|
3381 Darby Rd Keswick VA 22947-2706 | |
| (434) 242-5446 | |
| Not Available |
| Full Name | Virginia Pediatric Dentistry Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3381 Darby Rd, Keswick, Virginia |
| Authorized Official Name and Position | Jacqueline Carney (PRESIDENT) |
| Authorized Official Contact | 4342425446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia Pediatric Dentistry Pc 3381 Darby Road Keswick VA 22947 Ph: (434) 242-5446 | Virginia Pediatric Dentistry Pc 3381 Darby Rd Keswick VA 22947-2706 Ph: (434) 242-5446 |
| NPI Number | 1912382243 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912382243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410463 (Virginia) | Primary |