Mineral Dental Care | |
121 Louisa Ave Mineral VA 23117 | |
(540) 894-5700 | |
(540) 894-0355 |
Full Name | Mineral Dental Care |
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Speciality | Clinic/center - Dental |
Location | 121 Louisa Ave, Mineral, Virginia |
Authorized Official Name and Position | Mohamed Arafa (CLINICAL DIRECTOR) |
Authorized Official Contact | 5408945700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mineral Dental Care Po Box 100 Mineral VA 23117-0100 Ph: (540) 894-5700 | Mineral Dental Care 121 Louisa Ave Mineral VA 23117 Ph: (540) 894-5700 |
NPI Number | 1578005492 |
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Provider Enumeration Date | 11/09/2016 |
Last Update Date | 11/09/2016 |
Identifier | Type | State | Issuer |
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1578005492 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | 0401413063 (Virginia) | Primary |