Shenandoah Smiles PC

NPI #1144609702 in Winchester, Virginia

Provider Information

NPI Number: 1144609702
Entity Type: Organization
Organization Name: Shenandoah Smiles PC
Primary Specialty: Dentist
Enumeration Date: May 28, 2015
Last Updated: May 28, 2015

Practice Location

Address: 519 W JUBAL EARLY DR
Address 2: SUITE 101
City: Winchester
State: Virginia
ZIP Code: 22601-6517
Phone: (540) 533-6369

Authorized Official

Name: DR. MELISSA PAIGE GIBSON, DDS
Title: PRESIDENT
Phone: (540) 533-6369

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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