Dental Providers (221)    PERSON CLASS (8932.1)

Name Value
PROVIDER TYPE Dental Providers
CLASSIFICATION Denturist
STATUS Active
VA CODE V030600
X12 CODE 122400000X
reserved A, Try V03----
SPECIALTY CODE 19
INDIVIDUAL/NON INDIVIDUAL
MASTER ENTRY FOR VUID YES
VUID 5252504
EFFECTIVE DATE/TIME
  • 2018-04-02 15:35:38
    STATUS:   ACTIVE