| Diann M Vild | |
|
4805 Plank Road Fredericksburg VA 22407 | |
| (540) 786-2311 | |
| (540) 786-9151 |
| Full Name | Diann M Vild |
|---|---|
| Speciality | Dentist |
| Location | 4805 Plank Road, Fredericksburg, Virginia |
| Authorized Official Name and Position | Diann May Vild (OWNER DENTIST) |
| Authorized Official Contact | 5407862311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diann M Vild 4805 Plank Road Fredericksburg VA 22407 Ph: (540) 786-2311 | Diann M Vild 4805 Plank Road Fredericksburg VA 22407 Ph: (540) 786-2311 |
| NPI Number | 1124202395 |
|---|---|
| Provider Enumeration Date | 12/24/2007 |
| Last Update Date | 12/24/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124202395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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