Organization
WEST STUART DENTAL ARTS CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITA L BOLEN (ADMINISTRATOR)
(276) 728-2164
Entity
Organization
Contact information
Practice address
1192 W STUART DR, HILLSVILLE, VA 24343-1520
(276) 728-2164
Mailing address
1192 W STUART DR, HILLSVILLE, VA 24343-1520
(276) 728-2164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008084
VA
Other
Enumeration date
01/06/2009
Last updated
01/06/2009
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