Individual
DR. MARK VAGNETTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
320 WINDING RIVER LN, SUITE 302, CHARLOTTESVILLE, VA 22911-3569
(434) 260-7025
(888) 980-9982
Mailing address
320 WINDING RIVER LN, SUITE 302, CHARLOTTESVILLE, VA 22911-3569
(434) 260-7025
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
401410767
VA
1223E0200X
Endodontics
Primary
0401410767
VA
Other
Enumeration date
05/17/2006
Last updated
09/23/2014
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