Powhatan Gentle Dentistry Plc

NPI #1043630569 in Powhatan, Virginia

Provider Information

NPI Number: 1043630569
Entity Type: Organization
Organization Name: Powhatan Gentle Dentistry Plc
Primary Specialty: Dentist
Enumeration Date: Apr 23, 2014
Last Updated: May 1, 2014

Practice Location

Address: 2105 ACADEMY RD
Address 2: UNIT J
City: Powhatan
State: Virginia
ZIP Code: 23139-5829
Phone: (804) 598-8951

Authorized Official

Name: DR. GENEVIEVE DEVERA
Title: DENTIST AND OWNER
Phone: (804) 598-8951

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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