Individual
DR. JAY MARSHALL BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
200 WASHINGTON ST SE, BLACKSBURG, VA 24060-4838
(540) 552-2551
(540) 961-9864
Mailing address
200 WASHINGTON ST SE, BLACKSBURG, VA 24060-4838
(540) 552-2551
(540) 961-9864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412144
VA
Other
Enumeration date
06/19/2008
Last updated
06/19/2008
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