Colina Dental Center

NPI 1164843132 - Dentist - 122300000X

NPI Details
NPI 1164843132
Enumeration Date 12/18/2013
Last Updated 12/18/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name JOEY JOHN JOEY
Position GENERAL DENTIST
Phone (804) 443-5984
Fax (804) 443-3462
Practice Location
1646 TAPPAHANNOCK BLVD
TAPPAHANNOCK VA, 22560-9346, US
Phone (804) 443-5984
Fax (804) 443-3462
Business Location
PO BOX 1237, 1646 TAPP BLVD
TAPPAHANNOCK VA, 22560-1237, US
Phone (804) 443-5984
Fax (804) 443-3462
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401007889
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According to our database, Colina Dental Center NPI is 1164843132, taxonomy code is 122300000X and license number is 0401007889, license state is located at Virginia. Colina Dental Center physically located at 1646 Tappahannock Blvd, Tappahannock VA, 22560-9346. NPI Number 1033115704 has the healthcare provider type.

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1164843132 NPI number is provided on an as is basis without warranty of any kind. 1164843132 is maintained by the National Plan & Provider Enumeration System. The contents of Colina Dental Center are for informational purposes only.