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Organization

MITCHELL J MAGID ,DMD , PC

Active
Other names
MOUNTAINVIEW ORAL SURGERY AND IMPLANT CENTER
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MITCHELL J MAGID DMD (OWNER)
(434) 316-7111
Entity
Organization

Contact information

Practice address
1612 GRAVES MILL RD, LYNCHBURG, VA 24502-4329
(434) 316-7111
(434) 316-7114
Mailing address
1612 GRAVES MILL RD, LYNCHBURG, VA 24502-4329
(434) 316-7111
(434) 316-7114

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401412702
VA
207L00000X
Anesthesiology Physician
Primary
0101247757
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1326065939
VA
Enumeration date
07/22/2010
Last updated
07/22/2010
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