| Culpeper Kids Dentistry | |
|
18474 Crossroad Pkwy Culpeper VA 22701-4112 | |
| (540) 445-0271 | |
| Not Available |
| Full Name | Culpeper Kids Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 18474 Crossroad Pkwy, Culpeper, Virginia |
| Authorized Official Name and Position | Alvin Castasus Amante (MANAGING MEMBER) |
| Authorized Official Contact | 2064272977 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Culpeper Kids Dentistry 18474 Crossroad Pkwy Culpeper VA 22701-4112 Ph: (540) 445-0271 | Culpeper Kids Dentistry 18474 Crossroad Pkwy Culpeper VA 22701-4112 Ph: (540) 445-0271 |
| NPI Number | 1225490246 |
|---|---|
| Provider Enumeration Date | 03/29/2016 |
| Last Update Date | 03/29/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225490246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401413425 (Virginia) | Primary |
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