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Individual

ADAM PLASTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
423 E MAIN ST, SUITE 2, BEDFORD, VA 24523-2016
(540) 586-3215
(540) 586-3273
Mailing address
423 E MAIN ST, SUITE 2, BEDFORD, VA 24523-2016
(540) 586-3215
(540) 586-3273

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410196
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010119529
VA
01
9178673
DENTAQUEST
VA
Enumeration date
07/06/2010
Last updated
02/03/2016
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