Organization
JULIAN FIELDS, DDS LTD
Active
Other names
Altavista Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JULIAN FIELDS IV D.D.S. (DENTIST/OWNER)
(434) 369-4702
Entity
Organization
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
0401414545
VA
Other
Enumeration date
09/18/2014
Last updated
09/18/2014
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