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Individual
ADAM PLASTER
Active
Individual
ADAM PLASTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410196
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010119529
—
VA
01
—
9178673
DENTAQUEST
VA
Enumeration date
07/06/2010
Last updated
02/03/2016
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