| NPI | 1205559929 |
|---|---|
| Doing Business As | WAYNESBORO FAMILY DENTISTRY |
| Doing Business As | WAYNESBORO BLUE RIDGE DENTAL |
| Entity Type | Organization |
| Authorized Contact | JALONDA SWEENEY Director 704-997-8878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-12-13 |