Legacy Dental Of Chester | |
2930 W Hundred Rd Chester VA 23831-2126 | |
(804) 768-4283 | |
Not Available |
Full Name | Legacy Dental Of Chester |
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Speciality | Dentist - General Practice |
Location | 2930 W Hundred Rd, Chester, Virginia |
Authorized Official Name and Position | Michael Riccobene (OWNER) |
Authorized Official Contact | 9105855205 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Legacy Dental Of Chester Po Box 749632 Atlanta GA 30374-9632 Ph: (919) 585-5205 | Legacy Dental Of Chester 2930 W Hundred Rd Chester VA 23831-2126 Ph: (804) 768-4283 |
NPI Number | 1992414288 |
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Provider Enumeration Date | 11/16/2022 |
Last Update Date | 10/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992414288 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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