Individual
DR. JOSE E URRESTI SOBERON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1470 PANTOPS MOUNTAIN PL, CHARLOTTESVILLE, VA 22911-4600
(434) 817-1817
(434) 817-1819
Mailing address
1615 OLD TRAIL DR, CROZET, VA 22932-3342
(434) 282-5469
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401413819
VA
1223G0001X
General Practice Dentistry
10258
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/05/2007
Last updated
09/25/2014
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