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1538849880
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
CHARLOTTESVILLE, VA
NPI
1538849880
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Entity Type
Organization
Authorized Contact
MARY CHAFFIN
Credentialing Specialist
704-997-8878
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2023-07-21
Last Update Date
2024-05-29
Business Address
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
2320 COMMONWEALTH DR
CHARLOTTESVILLE, VA 22901-1622
Phone number: 434-978-1510
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Mailing Address
CHARLOTTESVILLE BLUE RIDGE DENTAL, PLC
19810 W CATAWBA AVE STE A1
CORNELIUS, NC 28031-4056
Phone number: 704-997-8878
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