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Oral Surgery, Dental Specialists

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WILLIAM CARVAJAL D.D.S, M.D.

Oral and Maxillofacial Surgery

Lynchburg, Virginia

Provider NPI: 1750493193

Provider Information:
 WILLIAM  CARVAJAL D.D.S, M.D.
Gender: M
Sole Proprietor


Practice Location:
101 ARCHWAY CT  LYNCHBURG, VA 24502 US
Tel: 434-832-8040  Fax: 434-832-8041

Business Mailing Address:
101 ARCHWAY CT  LYNCHBURG, VA 24502 US
Tel: 434-832-8040  Fax: 434-832-8041

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223S0112XDental Providers
Dentist
Oral and Maxillofacial Surgery
VA0438000081

Other Provider Identifiers:

IssuerNumberStateType
010176743VA05
DORAL DENTAL9179586VA01
ANTHEM462917VA01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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