Spotsylvania Oral Surgery Pllc | |
10406 Courthouse Rd Spotsylvania VA 22553-1712 | |
(540) 898-7645 | |
Not Available |
Full Name | Spotsylvania Oral Surgery Pllc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 10406 Courthouse Rd, Spotsylvania, Virginia |
Authorized Official Name and Position | Brenda Moody (REGIONAL MANAGER) |
Authorized Official Contact | 5407106000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spotsylvania Oral Surgery Pllc 10406 Courthouse Rd Spotsylvania VA 22553-1712 Ph: (540) 898-7645 | Spotsylvania Oral Surgery Pllc 10406 Courthouse Rd Spotsylvania VA 22553-1712 Ph: (540) 898-7645 |
NPI Number | 1235517962 |
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Provider Enumeration Date | 05/14/2015 |
Last Update Date | 05/14/2015 |
Identifier | Type | State | Issuer |
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1235517962 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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