Commonwealth Orthodontics - Ashland | |
130 Thompson St Ste I Ashland VA 23005-1526 | |
(804) 798-2776 | |
Not Available |
Full Name | Commonwealth Orthodontics - Ashland |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 130 Thompson St Ste I, Ashland, Virginia |
Authorized Official Name and Position | Michael Riccobene (OWNER) |
Authorized Official Contact | 9108536172 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Commonwealth Orthodontics - Ashland 130 Thompson St Ste I Ashland VA 23005-1526 Ph: () - | Commonwealth Orthodontics - Ashland 130 Thompson St Ste I Ashland VA 23005-1526 Ph: (804) 798-2776 |
NPI Number | 1982450300 |
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Provider Enumeration Date | 04/26/2024 |
Last Update Date | 08/02/2024 |
Identifier | Type | State | Issuer |
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1982450300 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
Louis J. Korpics Jr., D.d.s. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Thompson St, Ashland, VA 23005 Phone: 804-798-2776 Fax: 804-798-3110 | |
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