Individual
DR. MARCUS BRANDON BUSKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 ALLEGHENY STREET, RICHLANDS, VA 24641-0880
(276) 963-3705
(276) 964-5866
Mailing address
PO BOX 880, RICHLANDS, VA 24641-0880
(276) 963-3705
(276) 964-5866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411127
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9182558
—
VA
Enumeration date
03/07/2008
Last updated
03/07/2008
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