Organization
REBECCA ANGUS DDS AND F LEE ANGUS JR DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ANGUS DDS (MEMBER)
(804) 794-6893
Entity
Organization
Contact information
Practice address
2400 PAGEHURST DR, MIDLOTHIAN, VA 23113-6411
(804) 794-6893
Mailing address
2400 PAGEHURST DR, MIDLOTHIAN, VA 23113-6411
(804) 794-6893
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411855
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1912104753
INDIVIDUAL NPI
VA
Enumeration date
03/22/2012
Last updated
03/22/2012
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