| Magnolia Dental Corporation Pc | |
|
400 South Magnolia Avenue Waynesboro VA 22980 | |
| (540) 943-2723 | |
| (540) 943-1419 |
| Full Name | Magnolia Dental Corporation Pc |
|---|---|
| Speciality | Dentist |
| Location | 400 South Magnolia Avenue, Waynesboro, Virginia |
| Authorized Official Name and Position | Richards Rudd Miller (PARTNER) |
| Authorized Official Contact | 5409432723 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Magnolia Dental Corporation Pc 400 South Magnolia Avenue Waynesboro VA 22980 Ph: (540) 943-2723 | Magnolia Dental Corporation Pc 400 South Magnolia Avenue Waynesboro VA 22980 Ph: (540) 943-2723 |
| NPI Number | 1164502332 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164502332 | NPI | - | NPPES |
| 201253 | Other | ANTHEM | |
| 201256 | Other | ANTHEM | |
| 1354201 | Other | UNITED CONCORDIA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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