Periodontal Health Associates

NPI #1326371048 in Lynchburg, Virginia

Provider Information

NPI Number
1326371048
Entity Type
Organization
Organization Name
Periodontal Health Associates
Primary Specialty
Dentist - Periodontics
Enumeration Date
Sep 14, 2009
Last Updated
Sep 14, 2009

Practice Location

Address
525 LEESVILLE RD
ZIP Code
24502-2328
Phone
(434) 455-2444

Authorized Official

Name
DR. SHERMAN OWEN SMOCK, D.D.S.
Title
PRESIDENT
Phone
(434) 455-2444

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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