Organization
MARK S. CLOTH DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK STEPHEN CLOTH D.D.S. (PRESIDENT)
(434) 975-3013
Entity
Organization
Contact information
Practice address
500 N COALTER ST, STAUNTON, VA 24401-3401
(540) 886-8331
(540) 886-8334
Mailing address
1912 RIVER INN LN, CHARLOTTESVILLE, VA 22901-6203
(434) 975-3013
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401005851
VA
Other
Enumeration date
05/10/2007
Last updated
08/22/2020
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