Legacy Dental Of Mckenney | |
10806 Rives Ave Mc Kenney VA 23872-2041 | |
(804) 621-7631 | |
Not Available |
Full Name | Legacy Dental Of Mckenney |
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Speciality | Dentist - General Practice |
Location | 10806 Rives Ave, Mc Kenney, Virginia |
Authorized Official Name and Position | Annette Marlow (CREDENTIALING MANAGER) |
Authorized Official Contact | 3309944533 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Dental Of Mckenney 10806 Rives Ave Mc Kenney VA 23872-2041 Ph: (804) 621-7631 | Legacy Dental Of Mckenney 10806 Rives Ave Mc Kenney VA 23872-2041 Ph: (804) 621-7631 |
NPI Number | 1154030443 |
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Provider Enumeration Date | 11/16/2022 |
Last Update Date | 08/02/2024 |
Identifier | Type | State | Issuer |
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1154030443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
Steven Castro Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 10806 Rives Ave, Mc Kenney, VA 23872 Phone: 804-467-5081 |