| NPI | 1780932277 |
|---|---|
| Doing Business As | BLUE RIDGE DENTAL GROUP |
| Entity Type | Organization |
| Authorized Contact | GREGORY TODD HARVEY President 540-904-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410880) |
| Enumeration Date | 2012-08-15 |
| Last Update Date | 2012-08-15 |