Organization
ROBERT D KILGORE, D.M.D., P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT D KILGORE D.M.D (DENTIST)
(276) 328-5291
Entity
Organization
Contact information
Practice address
106 WATER ST, WISE, VA 24293
(276) 328-5291
Mailing address
PO BOX 3937, WISE, VA 24293-3937
(276) 328-5291
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006902
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
281624
ANTHEM
VA
Enumeration date
08/29/2007
Last updated
08/29/2007
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