| New Horizons Dental Care Southeast | |
|
321 Tazewell Ave Se Roanoke VA 24013-1445 | |
| (540) 362-0360 | |
| (540) 362-1448 |
| Full Name | New Horizons Dental Care Southeast |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 321 Tazewell Ave Se, Roanoke, Virginia |
| Authorized Official Name and Position | Eileen G Lepro (CEO) |
| Authorized Official Contact | 5403620360 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Horizons Dental Care Southeast 321 Tazewell Ave Se Roanoke VA 24013-1445 Ph: (540) 362-0360 | New Horizons Dental Care Southeast 321 Tazewell Ave Se Roanoke VA 24013-1445 Ph: (540) 362-0360 |
| NPI Number | 1922552512 |
|---|---|
| Provider Enumeration Date | 08/11/2016 |
| Last Update Date | 08/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922552512 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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