King George Dental LLC

NPI #1538412424 in King George, Virginia

Provider Information

NPI Number: 1538412424
Entity Type: Organization
Organization Name: King George Dental LLC
Primary Specialty: Dentist
Enumeration Date: Oct 17, 2012
Last Updated: Dec 6, 2012

Practice Location

Address: 15521 REAL ESTATE AVE
Address 2: STE 200
City: King George
State: Virginia
ZIP Code: 22485-5327
Phone: (540) 663-3139

Authorized Official

Name: DR. PHILIP JAMES SPORY, DDS
Title: PRESIDENT
Phone: (540) 663-3139

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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