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Individual

DR. GARRETT EARNEST HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
423 E MAIN ST, BEDFORD, VA 24523-2016
(540) 586-3215
(540) 586-3273
Mailing address
PO BOX 448, BEDFORD, VA 24523-0448
(540) 586-3215
(540) 586-3273

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004433
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401004433
STATE DENTAL LICENSE
VA
Enumeration date
10/21/2005
Last updated
12/14/2007
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