Individual
DR. JAMES RYLAND GWALTNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2486 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 537-4221
Mailing address
2486 PRUDEN BLVD, SUFFOLK, VA 23434-4206
(757) 537-4221
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414513
VA
Other
Enumeration date
08/26/2014
Last updated
08/26/2014
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