| Mark S. Cloth, D.d.s., P.c. | |
|
190 Albemarle Sq Charlottesville VA 22901-7403 | |
| (434) 964-2464 | |
| (434) 964-2465 |
| Full Name | Mark S. Cloth, D.d.s., P.c. |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 190 Albemarle Sq, Charlottesville, Virginia |
| Authorized Official Name and Position | Mark S. Cloth (OWNER) |
| Authorized Official Contact | 4349642464 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mark S. Cloth, D.d.s., P.c. 190 Albemarle Sq Charlottesville VA 22901-7403 Ph: (434) 964-2464 | Mark S. Cloth, D.d.s., P.c. 190 Albemarle Sq Charlottesville VA 22901-7403 Ph: (434) 964-2464 |
| NPI Number | 1659507978 |
|---|---|
| Provider Enumeration Date | 06/01/2009 |
| Last Update Date | 06/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659507978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 5851 (Virginia) | Primary |
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