Individual
MR. MONTE DICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
230 SHENANDOAH ST, WOODSTOCK, VA 22664-1051
(540) 459-8318
Mailing address
230 SHENANDOAH ST, WOODSTOCK, VA 22664-1051
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1101000947
VA
Other
Enumeration date
07/06/2007
Last updated
07/08/2007
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