Commonwealth Dental Clinic

NPI #1144641309 in Roanoke, Virginia

Provider Information

NPI Number
1144641309
Entity Type
Organization
Organization Name
Commonwealth Dental Clinic
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Dec 13, 2013
Last Updated
Dec 13, 2013

Practice Location

Address
1121 S JEFFERSON ST
ZIP Code
24016-4703
Phone
(540) 685-0028

Authorized Official

Name
GREGORY TODD HARVEY, DMD
Title
PRESIDENT
Phone
(540) 685-0028

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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