NPI | 1902991763 |
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Doing Business As | CHILDRENS DENTISTRY OF CHARLOTTESVILLE |
Entity Type | Organization |
Authorized Contact | JACQUELINE MICHELE CARNEY President 434-817-1817 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401410463) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2008-07-07 |