Mark S. Cloth, D.d.s., P.c. | |
190 Albemarle Sq Charlottesville VA 22901-7403 | |
(434) 964-2464 | |
(434) 964-2465 |
Full Name | Mark S. Cloth, D.d.s., P.c. |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 190 Albemarle Sq, Charlottesville, Virginia |
Authorized Official Name and Position | Mark S. Cloth (OWNER) |
Authorized Official Contact | 4349642464 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mark S. Cloth, D.d.s., P.c. 190 Albemarle Sq Charlottesville VA 22901-7403 Ph: (434) 964-2464 | Mark S. Cloth, D.d.s., P.c. 190 Albemarle Sq Charlottesville VA 22901-7403 Ph: (434) 964-2464 |
NPI Number | 1659507978 |
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Provider Enumeration Date | 06/01/2009 |
Last Update Date | 06/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1659507978 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5851 (Virginia) | Primary |
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