Individual
MITCHELL J MAGID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1612 GRAVES MILL RD, LYNCHBURG, VA 24502-4329
(434) 316-7111
(434) 316-7114
Mailing address
1612 GRAVES MILL RD, LYNCHBURG, VA 24502-4329
(701) 388-8554
(701) 356-0739
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401412702
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0401412702
VA
Other
Enumeration date
07/17/2006
Last updated
07/15/2019
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