Amelia Family Dentistry Dre Pll

NPI #1497577464 in Amelia Court House, Virginia

Provider Information

NPI Number: 1497577464
Entity Type: Organization
Organization Name: Amelia Family Dentistry Dre Pll
Primary Specialty: Dentist
Enumeration Date: Oct 30, 2024
Last Updated: Oct 30, 2024

Practice Location

Address: 10160 SUPERIOR WAY
City: Amelia Court House
State: Virginia
ZIP Code: 23002-4744
Phone: (804) 561-4379

Authorized Official

Name: ELIZABETH DAVIS
Title: DIRECTOR OF REVENUE
Phone: (859) 533-1109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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