Organization
MARK S. CLOTH, D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK S. CLOTH D.D.S. (OWNER)
(434) 964-2464
Entity
Organization
Contact information
Practice address
190 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7403
(434) 964-2464
(434) 964-2465
Mailing address
190 ALBEMARLE SQ, CHARLOTTESVILLE, VA 22901-7403
(434) 964-2464
(434) 964-2465
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
5851
VA
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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