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282 Choptank Rd 101 Stafford VA 22556-6481 | |
| (540) 628-0684 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 282 Choptank Rd, Stafford, Virginia |
| Authorized Official Name and Position | Joshua Hughes Cahoon (OWNER DENTIST) |
| Authorized Official Contact | 5406280684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
282 Choptank Rd 101 Stafford VA 22556-6481 Ph: (540) 628-0684 | 282 Choptank Rd 101 Stafford VA 22556-6481 Ph: (540) 628-0684 |
| NPI Number | 1891001533 |
|---|---|
| Provider Enumeration Date | 08/19/2010 |
| Last Update Date | 08/19/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891001533 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401412234 (Virginia) | Primary |
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