Organization
SOUTH SIDE ORTHODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKUS NIEPRASCHK DDS (ORTHODONTIST)
(434) 977-9473
Entity
Organization
Contact information
Practice address
32 MILL CREEK DR, SUITE 107, CHARLOTTESVILLE, VA 22902-8718
(434) 977-9473
(434) 977-9417
Mailing address
32 MILL CREEK DR, SUITE 107, CHARLOTTESVILLE, VA 22902-8718
(434) 977-9473
(434) 977-9417
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
03/29/2010
Last updated
08/30/2010
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