| NPI | 1568956316 |
|---|---|
| Doing Business As | BLUE RIDGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | SHERRY JACKSON GUERRANT Human Resources Manager 540-444-5659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |