Ruther Glen Dental, LLC

NPI #1235504515 in Ruther Glen, Virginia

Provider Information

NPI Number: 1235504515
Entity Type: Organization
Organization Name: Ruther Glen Dental, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Dec 11, 2015
Last Updated: Dec 11, 2015

Practice Location

Address: 11073 COLONEL ARMSTEAD DR
Address 2: SUITE 107
City: Ruther Glen
State: Virginia
ZIP Code: 22546-3367
Phone: (703) 629-5847

Authorized Official

Name: JOSEPH KERNER
Title: DIRECTOR
Phone: (703) 629-5847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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