Individual
KEVIN MARK ALBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2320 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-1622
(434) 978-1510
Mailing address
1507 WILTON FARM RD, CHARLOTTESVILLE, VA 22911-7648
(330) 717-4633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414423
VA
Other
Enumeration date
05/27/2014
Last updated
05/27/2014
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