Provider First Line Business Practice Location Address:
2017 SOUTH JEFFERSON ST
Provider Second Line Business Practice Location Address:
CARILION DENTAL CARE
Provider Business Practice Location Address City Name:
ROANOKE
Provider Business Practice Location Address State Name:
VA
Provider Business Practice Location Address Postal Code:
24018
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
540-521-9721
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/16/2007