Spa Creek Dental of Va, Pllc

NPI #1730544784 in Gainesville, Virginia

Provider Information

NPI Number: 1730544784
Entity Type: Organization
Organization Name: Spa Creek Dental of Va, Pllc
Primary Specialty: Dentist
Enumeration Date: Dec 17, 2015
Last Updated: Jun 4, 2021

Practice Location

Address: 14540 JOHN MARSHALL HIGHWAY STE 103
City: Gainesville
State: Virginia
ZIP Code: 20155
Phone: (267) 691-2800

Authorized Official

Name: AMBER LLOYD
Title: ACCOUNTS RECEIVABLE SPECIALIST
Phone: (267) 691-2812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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