| Commonwealth Of Virginia State Board Of Health | |
|
17202 Richmond Turnpike Milford VA 22514 | |
| (804) 633-5465 | |
| Not Available |
| Full Name | Commonwealth Of Virginia State Board Of Health |
|---|---|
| Speciality | Dentist - Dental Public Health |
| Location | 17202 Richmond Turnpike, Milford, Virginia |
| Authorized Official Name and Position | Jane D Krakowsky (BUSINESS MANAGER) |
| Authorized Official Contact | 5408994797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Of Virginia State Board Of Health 608 Jackson St Fredericksburg VA 22401-5719 Ph: (540) 899-4797 | Commonwealth Of Virginia State Board Of Health 17202 Richmond Turnpike Milford VA 22514 Ph: (804) 633-5465 |
| NPI Number | 1982708996 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/25/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982708996 | NPI | - | NPPES |
| 104671 | Other | VA | DORAL |
| 144844 | Other | VA | ANTHEM-MILLER |
| 142948 | Other | VA | ANTHEM-COLE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0001X | Dentist - Dental Public Health | (* (Not Available)) | Primary |
Michael N Trahos Dds Ltd Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 18204 Sparta Rd, Michael N Trahos Dds Ltd, Milford, VA 22514 Phone: 804-633-2171 |