Dental Service (206)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Dental Service
STATUS Inactive
DATE INACTIVATED 1998-10-20 00:00:00
VA CODE V030000
reserved A, Try V03----
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252528
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:52
    STATUS:   INACTIVE