Individual
DR. MARK STEPHEN CLOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
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
10/10/2006
Last updated
07/08/2007
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