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NPI Code Detail

MEDICARE: CHRISTOPHER LUCIO MAESTRELLO D.D.S.

MEDICARE: CHRISTOPHER LUCIO MAESTRELLO D.D.S.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223P0221XPediatric Dentistry0401007090VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922019736
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER LUCIO MAESTRELLO D.D.S.
Provider Business Mailing Address
First Line : 2560 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23238-1468
Country : US
Telephone Number : 804-741-2226
Fax Number :
Provider Business Practice Location Address
First Line : 2560 GASKINS RD
Second Line :
City : RICHMOND
State : VA
Zip : 23238-1468
Country : US
Telephone Number : 804-741-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/10/2006
Last Update Date : 12/09/2010

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