Gentle Dental Care Of Blacksburg

NPI 1417194853 - Dentist - 122300000X

NPI Details
NPI 1417194853
Enumeration Date 01/07/2009
Last Updated 01/07/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name KEVIN L KEVIN
Position PRESIDENT
Phone (864) 839-0034
Fax
Practice Location
305 W PINE ST
BLACKSBURG SC, 29702-1549, US
Phone (864) 839-0034
Fax
Business Location
305 W PINE ST
BLACKSBURG SC, 29702-1549, US
Phone (864) 839-0034
Fax
Toxanomy
Taxonomy Code 122300000X
License State South Carolina
License Number 3241
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According to our database, Gentle Dental Care Of Blacksburg NPI is 1417194853, taxonomy code is 122300000X and license number is 3241, license state is located at South Carolina. Gentle Dental Care Of Blacksburg physically located at 305 W Pine St, Blacksburg SC, 29702-1549. NPI Number 1033115704 has the healthcare provider type.

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1417194853 NPI number is provided on an as is basis without warranty of any kind. 1417194853 is maintained by the National Plan & Provider Enumeration System. The contents of Gentle Dental Care Of Blacksburg are for informational purposes only.