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Organization
RONALD W HOUSEHOLDER DDS PLLC
Active
Organization
RONALD W HOUSEHOLDER DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD WAYNE HOUSEHOLDER DDS (OWNER/DENTIST)
(276) 988-7522
Entity
Organization
Contact information
Practice address
316 BEN BOLT AVE, TAZEWELL, VA 24651-5386
(276) 988-7522
(276) 988-5866
Mailing address
PO BOX 542, NORTH TAZEWELL, VA 24630-0542
(276) 988-7522
(276) 988-5866
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401005792
VA
Other
Enumeration date
03/13/2018
Last updated
03/13/2018
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