Andrew Lusk Dds Pllc | |
46 Trifecta Pl Ste 100 Charles Town WV 25414-5652 | |
(304) 687-8406 | |
Not Available |
Full Name | Andrew Lusk Dds Pllc |
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Speciality | Dentist - Pediatric Dentistry |
Location | 46 Trifecta Pl Ste 100, Charles Town, West Virginia |
Authorized Official Name and Position | Andrew Christopher Lusk (OWNER) |
Authorized Official Contact | 3046878406 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Andrew Lusk Dds Pllc 10224 Redbridge Rd North Chesterfield VA 23236-4631 Ph: (304) 687-8406 | Andrew Lusk Dds Pllc 46 Trifecta Pl Ste 100 Charles Town WV 25414-5652 Ph: (304) 687-8406 |
NPI Number | 1033845078 |
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Provider Enumeration Date | 07/30/2022 |
Last Update Date | 07/30/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033845078 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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