Individual
MILLARD N RADFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
740 OLD FRANKLIN TURNPIKE, SUITE 3, ROCKY MOUNT, VA 24151
(540) 489-8190
Mailing address
740 OLD FRANKLIN TURNPIKE, SUITE 3, ROCKY MOUNT, VA 24151
(540) 489-8190
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401 006701
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14794
DORAL DENTAL
—
Enumeration date
08/19/2006
Last updated
07/08/2007
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