Individual
BILLY MAURICE RUTHERFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
126 J ST, KEYSVILLE, VA 23947
(434) 736-8748
(434) 736-8419
Mailing address
21605 PRINCE EDWARD HWY, RICE, VA 23966-2487
(434) 736-8748
(434) 736-8419
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007140
VA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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