Individual
GARRETT BALKCOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
300 CENTRAL AVE, FORT LEE, VA 23801-1526
(804) 734-9614
Mailing address
300 CENTRAL AVE, FORT GREGG ADAMS, VA 23801-1526
(804) 734-9614
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61223
KS
Other
Enumeration date
08/03/2016
Last updated
07/10/2023
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