Individual
SAMUEL V MESAROS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
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
09/18/2007
Last updated
09/18/2007
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