GRETA-ANNE MARIE CASTONGUAY WHITESIDE

ROANOKE, VA
NPI1649808262
Former NameGRETA-ANNE MARIE CASTONGUAY
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: VA  0401416979)
Additional Taxonomies122300000X Dentist
(Licence: VA  04401416979)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-30
Last Update Date2024-02-13
Business Address
Mrs. GRETA-ANNE MARIE CASTONGUAY WHITESIDE DMD
4348 ELECTRIC RD
ROANOKE, VA 24018-0720
Phone number: 540-769-0600
Mailing Address
Mrs. GRETA-ANNE MARIE CASTONGUAY WHITESIDE DMD
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: