Individual
DR. STEVEN JOHN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
508 IRVINGTON RD, KILMARNOCK, VA 22482
(804) 435-3102
Mailing address
PO BOX 1935, KILMARNOCK, VA 22482-1935
(804) 435-3102
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412118
VA
Other
Enumeration date
04/10/2007
Last updated
01/07/2009
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