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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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