| One Dental Practice Llc | |
|
35 Castle Coakley Christiansted VI 00820 | |
| (340) 692-9770 | |
| Not Available |
| Full Name | One Dental Practice Llc |
|---|---|
| Speciality | Dentist |
| Location | 35 Castle Coakley, Christiansted, Virgin Island |
| Authorized Official Name and Position | Avril Johnson (OFFICE MANAGER) |
| Authorized Official Contact | 3406929770 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| One Dental Practice Llc 35 Estate Castle Coakley Christiansted VI 00820 Ph: (340) 692-9770 | One Dental Practice Llc 35 Castle Coakley Christiansted VI 00820 Ph: (340) 692-9770 |
| NPI Number | 1114386380 |
|---|---|
| Provider Enumeration Date | 02/17/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114386380 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | V1021 (Virgin Island) | Secondary |
| 122300000X | Dentist | V1221 (Virgin Island) | Primary |
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