| Pks Dentistry Pllc | |
|
1522 Insurance Ln Ste B Charlottesville VA 22911-7229 | |
| (434) 973-7744 | |
| (434) 975-0250 |
| Full Name | Pks Dentistry Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1522 Insurance Ln Ste B, Charlottesville, Virginia |
| Authorized Official Name and Position | Pamela Kathleen Stover-mejias (OWNER) |
| Authorized Official Contact | 4349737744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pks Dentistry Pllc 1522 Insurance Ln Ste B Charlottesville VA 22911-7229 Ph: (434) 973-7744 | Pks Dentistry Pllc 1522 Insurance Ln Ste B Charlottesville VA 22911-7229 Ph: (434) 973-7744 |
| NPI Number | 1992260681 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992260681 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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