Abingdon Pediatric Dentistry | |
465 W Main St Abingdon VA 24210-2630 | |
(276) 739-7942 | |
(276) 739-7943 |
Full Name | Abingdon Pediatric Dentistry |
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Speciality | Dentist - Pediatric Dentistry |
Location | 465 W Main St, Abingdon, Virginia |
Authorized Official Name and Position | Evelyn M Rolon (PEDIODONTIST) |
Authorized Official Contact | 2767397942 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Abingdon Pediatric Dentistry Po Box 1925 465 W. Main Street Abingdon VA 24212-1925 Ph: (276) 739-7942 | Abingdon Pediatric Dentistry 465 W Main St Abingdon VA 24210-2630 Ph: (276) 739-7942 |
NPI Number | 1871881912 |
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Provider Enumeration Date | 07/11/2011 |
Last Update Date | 07/11/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871881912 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | 0401410901 (Virginia) | Primary |
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