# WEST STUART DENTAL ARTS CENTER, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033355490
- **Authorized official:** RITA L BOLEN (ADMINISTRATOR)
- **Authorized official phone:** (276) 728-2164

## Contact information

- **Practice address:** 1192 W STUART DR, HILLSVILLE, VA 24343-1520
- **Practice address phone:** (276) 728-2164
- **Mailing address:** 1192 W STUART DR, HILLSVILLE, VA 24343-1520
- **Mailing address phone:** (276) 728-2164

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401008084 | VA | Yes |

## Other

- **Enumeration date:** 01/06/2009
- **Last updated:** 01/06/2009
