| Commonwealth Dental Anesthesiology Inc | |
|
1460-b Pantops Mountain Place Charlottesville VA 22911 | |
| (434) 242-5446 | |
| Not Available |
| Full Name | Commonwealth Dental Anesthesiology Inc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1460-b Pantops Mountain Place, Charlottesville, Virginia |
| Authorized Official Name and Position | Jacqueline Carney (PRESIDENT) |
| Authorized Official Contact | 4342425446 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dental Anesthesiology Inc 1460-b Pantops Mountain Place Charlottesville VA 22911 Ph: (434) 242-5446 | Commonwealth Dental Anesthesiology Inc 1460-b Pantops Mountain Place Charlottesville VA 22911 Ph: (434) 242-5446 |
| NPI Number | 1538599980 |
|---|---|
| Provider Enumeration Date | 11/21/2013 |
| Last Update Date | 11/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538599980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410463 (Virginia) | Primary |
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