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
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 - DentalDental

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