Organization
ADAM C PLASTER DDS PC II
Active
Other names
Lakeside Dental
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA DOOLEY (OFFICE MANAGER)
(540) 912-0177
Entity
Organization
Contact information
Practice address
13245 BOOKER T WASHINGTON HWY STE D, HARDY, VA 24101-3981
(540) 912-0177
(540) 912-0179
Mailing address
13245 BOOKER T WASHINGTON HWY STE D, HARDY, VA 24101-3981
(540) 912-0177
(540) 912-0179
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/23/2019
Last updated
01/23/2019
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