Commonwealth of Virginia State Board of Health

NPI #1629089750 in Stafford, Virginia

Provider Information

NPI Number
1629089750
Entity Type
Organization
Organization Name
Commonwealth of Virginia State Board of Health
Primary Specialty
Dentist - Dental Public Health
Enumeration Date
Aug 11, 2006
Last Updated
Aug 25, 2008

Practice Location

Address
1739 JEFFERSON DAVIS HWY
ZIP Code
22554-7213
Phone
(540) 288-2579

Authorized Official

Name
JANE KRAKOWSKY
Title
BUSINESS MANAGER
Phone
(540) 899-4797

Specialties & Taxonomy Codes

Specialty
Dentist - Dental Public HealthDental Public Health

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