M Kent Kiser, Dds, Ltd | |
1151 E Main St Ste C Radford VA 24141-1761 | |
(540) 639-0111 | |
(540) 639-6111 |
Full Name | M Kent Kiser, Dds, Ltd |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 1151 E Main St Ste C, Radford, Virginia |
Authorized Official Name and Position | Marshall Kent Kiser (PRESIDENT/OWNER) |
Authorized Official Contact | 5406390111 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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M Kent Kiser, Dds, Ltd 1151 E Main St Ste C Radford VA 24141-1761 Ph: (540) 639-0111 | M Kent Kiser, Dds, Ltd 1151 E Main St Ste C Radford VA 24141-1761 Ph: (540) 639-0111 |
NPI Number | 1770140030 |
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Provider Enumeration Date | 05/22/2019 |
Last Update Date | 05/22/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770140030 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Radford Family Dental, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1151 E Main St, Suite A, Radford, VA 24141 Phone: 540-639-1674 |