Individual
DR. EMMETT VYNSTON RICHARDSON III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
635 PARK BLVD, MARION, VA 24354-4223
(276) 783-4442
(276) 783-9270
Mailing address
635 PARK BLVD, MARION, VA 24354-4223
(276) 783-4442
(276) 783-9270
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007139
VA
Other
Enumeration date
08/29/2006
Last updated
07/08/2007
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