Organization · Type 2 NPI

Root Modern Dentistry

Dental Clinic/Center · Ashland, VA

NPI number 1174203871 Active

Practice location

250 N Washington Hwy Ste A
Ashland, VA 23005-1624

Mailing address

122 Lauradell Rd
Ashland, VA 23005-8228

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

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About NPI 1174203871

Root Modern Dentistry's National Provider Identifier is 1174203871, issued on Jul 19, 2023. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Ashland, VA. The record was last updated on Jul 19, 2023.