Ladysmith Dental Center

NPI #1912346073 in Ruther Glen, Virginia

Provider Information

NPI Number: 1912346073
Entity Type: Organization
Organization Name: Ladysmith Dental Center
Subpart: Yes (part of a larger organization)
Parent Organization: LADYSMITH DENTAL CENTER
Primary Specialty: Dentist
Enumeration Date: Jun 21, 2013
Last Updated: Jun 21, 2013

Practice Location

Address: 18010 JEFFERSON DAVIS HWY
City: Ruther Glen
State: Virginia
ZIP Code: 22546-2922
Phone: (804) 589-1491

Authorized Official

Name: KELLY LYNN ROTHENBERGER
Title: OFFICE MANAGER
Phone: (804) 589-1491

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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