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Organization
SAMUEL V MESAROS PC
Active
Organization
SAMUEL V MESAROS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL V MESAROS DDS MS (PRESIDENT)
(434) 791-4700
Entity
Organization
Contact information
Practice address
115 COTTONWOOD LANE, DANVILLE, VA 24540
(434) 791-4700
(434) 791-3740
Mailing address
115 COTTONWOOD LANE, DANVILLE, VA 24540
(434) 791-4700
(434) 791-3740
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401008440
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
115194
ANTHEM
VA
01
—
8440
DELTA
VA
Enumeration date
12/31/2007
Last updated
12/31/2007
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