| Heavenly Smiles Dentistry, Pllc | |
|
1100a Boulevard Colonial Heights VA 23834-3001 | |
| (804) 892-1330 | |
| Not Available |
| Full Name | Heavenly Smiles Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 1100a Boulevard, Colonial Heights, Virginia |
| Authorized Official Name and Position | Juan Antonio Rojas (DENTIST) |
| Authorized Official Contact | 8048921330 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heavenly Smiles Dentistry, Pllc Po Box 1059 Colonial Heights VA 23834-1059 Ph: (804) 892-1330 | Heavenly Smiles Dentistry, Pllc 1100a Boulevard Colonial Heights VA 23834-3001 Ph: (804) 892-1330 |
| NPI Number | 1487966339 |
|---|---|
| Provider Enumeration Date | 07/08/2010 |
| Last Update Date | 07/08/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487966339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412139 (Virginia) | Primary |
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