| Mineral Dental Care | |
|
121 Louisa Ave Mineral VA 23117 | |
| (540) 894-5700 | |
| (540) 894-0355 |
| Full Name | Mineral Dental Care |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 121 Louisa Ave, Mineral, Virginia |
| Authorized Official Name and Position | Mohamed Arafa (CLINICAL DIRECTOR) |
| Authorized Official Contact | 5408945700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mineral Dental Care Po Box 100 Mineral VA 23117-0100 Ph: (540) 894-5700 | Mineral Dental Care 121 Louisa Ave Mineral VA 23117 Ph: (540) 894-5700 |
| NPI Number | 1578005492 |
|---|---|
| Provider Enumeration Date | 11/09/2016 |
| Last Update Date | 11/09/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578005492 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401413063 (Virginia) | Primary |