Organization · Type 2 NPI
Lake Plaza Dental PC
Dental Clinic/Center · Locust Grove, VA
NPI number
1386147668
Active
Practice location
36101 Goodwin Dr
Locust Grove, VA 22508-2029
Mailing address
11315 Hidden Cv
Spotsylvania, VA 22551-8919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401007015 (VA) |
Dental Clinic/Center: Definition to come...
3 other providers at this address
Other dental clinic/center providers in Locust Grove
About NPI 1386147668
Lake Plaza Dental PC's National Provider Identifier is 1386147668, issued on Mar 13, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Locust Grove, VA. The record was last updated on Mar 13, 2018.