Individual
DR. BINTOU MARIKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
2402 ATHERHOLT RD, LYNCHBURG, VA 24501-2148
(434) 455-3260
Mailing address
18 W PRINCETON CIR APT 101, LYNCHBURG, VA 24503-1470
(484) 477-7298
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418103
VA
261QS1000X
Student Health Clinic/Center
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
VA
Other
Enumeration date
07/27/2022
Last updated
08/22/2022
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