Individual
DR. WILLIE ABE HAMMONTREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
2840 HERSHBERGER RD NW STE C, ROANOKE, VA 24017-1915
(540) 366-8325
Mailing address
2840 HERSHBERGER RD NW STE C, ROANOKE, VA 24017-1915
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412882
VA
Other
Enumeration date
07/05/2010
Last updated
07/05/2010
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