Lake Plaza Dental PC
NPI #1386147668 in Locust Grove, Virginia
Provider Information
- NPI Number
- 1386147668
- Entity Type
- Organization
- Organization Name
- Lake Plaza Dental PC
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Mar 13, 2018
- Last Updated
- Mar 13, 2018
Practice Location
- Address
- 36101 GOODWIN DR
- City
- Locust Grove
- State
- Virginia
- ZIP Code
- 22508-2029
- Phone
- (540) 226-6744
Authorized Official
- Name
- DR. EDWIN ARTHUR TORREY, DDS
- Title
- PRESIDENT/OWNER
- Phone
- (540) 455-0107
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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