| Cdol Pedo Dre Pllc | |
|
105 Paulette Cir Lynchburg VA 24502-3150 | |
| (859) 785-8312 | |
| Not Available |
| Full Name | Cdol Pedo Dre Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 105 Paulette Cir, Lynchburg, Virginia |
| Authorized Official Name and Position | James Greg White (CEO) |
| Authorized Official Contact | 8597858312 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdol Pedo Dre Pllc 105 Spruce St Lexington KY 40507-2109 Ph: () - | Cdol Pedo Dre Pllc 105 Paulette Cir Lynchburg VA 24502-3150 Ph: (859) 785-8312 |
| NPI Number | 1477258499 |
|---|---|
| Provider Enumeration Date | 03/31/2023 |
| Last Update Date | 03/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477258499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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