Individual
DR. JULIAN WILLIAM FIELDS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2180 LYNCH MILL RD, ALTAVISTA, VA 24517-1150
(434) 369-4702
(434) 369-4703
Mailing address
2180 LYNCH MILL RD, ALTAVISTA, VA 24517-1150
(434) 369-4702
(434) 369-4703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008664
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
108554
—
VA
Enumeration date
01/20/2007
Last updated
07/09/2007
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