| Samuel V Mesaros Pc | |
|
115 Cottonwood Lane Danville VA 24540 | |
| (434) 791-4700 | |
| (434) 791-3740 |
| Full Name | Samuel V Mesaros Pc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 115 Cottonwood Lane, Danville, Virginia |
| Authorized Official Name and Position | Samuel V Mesaros (PRESIDENT) |
| Authorized Official Contact | 4347914700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel V Mesaros Pc 115 Cottonwood Lane Danville VA 24540 Ph: (434) 791-4700 | Samuel V Mesaros Pc 115 Cottonwood Lane Danville VA 24540 Ph: (434) 791-4700 |
| NPI Number | 1003091752 |
|---|---|
| Provider Enumeration Date | 12/31/2007 |
| Last Update Date | 12/31/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003091752 | NPI | - | NPPES |
| 115194 | Other | VA | ANTHEM |
| 8440 | Other | VA | DELTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | 0401008440 (Virginia) | Primary |
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