| Root Modern Dentistry | |
|
250 N Washington Hwy Ste A Ashland VA 23005-1624 | |
| (804) 406-4404 | |
| Not Available |
| Full Name | Root Modern Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 250 N Washington Hwy Ste A, Ashland, Virginia |
| Authorized Official Name and Position | Chriska Mustafa (OWNER/DENTIST) |
| Authorized Official Contact | 2024895972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root Modern Dentistry 122 Lauradell Rd Ashland VA 23005-8228 Ph: (202) 489-5972 | Root Modern Dentistry 250 N Washington Hwy Ste A Ashland VA 23005-1624 Ph: (804) 406-4404 |
| NPI Number | 1174203871 |
|---|---|
| Provider Enumeration Date | 07/19/2023 |
| Last Update Date | 07/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174203871 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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