Individual
DR. SAMUEL EDWARD WOOLWINE III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8116 TIMBERLAKE RD, LYNCHBURG, VA 24502-3224
(434) 239-2651
Mailing address
1243 ASHBURN DR, FOREST, VA 24551-4510
(540) 797-0709
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401414001
VA
Other
Enumeration date
05/29/2013
Last updated
05/29/2013
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