Most Relevant Information
Provider Data
| NPI Number: | 1003010612 |
| Provider Name: | PATRICK EARLE SPRAGUE DDS |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401005416 |
Most Important Dates
| Enumeration Date: | 06/14/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
4 CANAAN ST
LURAY
VA
228359734
Practice Location Phone/Fax
| Phone: | 5407435132 |
| Fax: |
Provider Mailing Location
4 CANAAN ST
LURAY
VA
228359734
Provider Mailing Phone/Fax
| Phone: | 5407435132 |
| Fax: |