| Shenandoah Smiles Pc | |
|
519 W Jubal Early Dr Suite 101 Winchester VA 22601-6517 | |
| (540) 533-6369 | |
| Not Available |
| Full Name | Shenandoah Smiles Pc |
|---|---|
| Speciality | Dentist |
| Location | 519 W Jubal Early Dr, Winchester, Virginia |
| Authorized Official Name and Position | Melissa Paige Gibson (PRESIDENT) |
| Authorized Official Contact | 5405336369 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shenandoah Smiles Pc 519 W Jubal Early Dr Suite 101 Winchester VA 22601-6517 Ph: (540) 533-6369 | Shenandoah Smiles Pc 519 W Jubal Early Dr Suite 101 Winchester VA 22601-6517 Ph: (540) 533-6369 |
| NPI Number | 1144609702 |
|---|---|
| Provider Enumeration Date | 05/28/2015 |
| Last Update Date | 05/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144609702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401411741 (Virginia) | Primary |
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