| Locust Grove Dental Care, Pc | |
|
35070 Germanna Heights Dr Ste B Locust Grove VA 22508-3108 | |
| (540) 399-9841 | |
| Not Available |
| Full Name | Locust Grove Dental Care, Pc |
|---|---|
| Speciality | Clinic/center |
| Location | 35070 Germanna Heights Dr Ste B, Locust Grove, Virginia |
| Authorized Official Name and Position | Basiony Taher Hagar (PRESIDENT) |
| Authorized Official Contact | 7039814694 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Locust Grove Dental Care, Pc 35070 Germanna Heights Dr Ste B Locust Grove VA 22508-3108 Ph: (540) 399-9841 | Locust Grove Dental Care, Pc 35070 Germanna Heights Dr Ste B Locust Grove VA 22508-3108 Ph: (540) 399-9841 |
| NPI Number | 1518404615 |
|---|---|
| Provider Enumeration Date | 01/26/2017 |
| Last Update Date | 01/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518404615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 0401412257 (Virginia) | Primary |
Country Doctor, Ltd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 35070 Germanna Heights Dr, Ste A, Locust Grove, VA 22508 Phone: 540-423-1788 Fax: 540-423-1755 |