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4950 Greensboro Rd Ridgeway VA 24148-3390 | |
(276) 956-9000 | |
(276) 956-9002 |
Full Name | |
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Speciality | Dentist - General Practice |
Location | 4950 Greensboro Rd, Ridgeway, Virginia |
Authorized Official Name and Position | Clyde Walcey Burris (PRESIDENT) |
Authorized Official Contact | 2769569000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 483 Ridgeway VA 24148-0483 Ph: (276) 956-9000 | 4950 Greensboro Rd Ridgeway VA 24148-3390 Ph: (276) 956-9000 |
NPI Number | 1023220365 |
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Provider Enumeration Date | 05/06/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1023220365 | NPI | - | NPPES |