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Individual

DONALD RUSSELL VILLIER JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
230 MARKET ST, NEW CASTLE, VA 24127-6080
(540) 864-5556
(540) 864-5558
Mailing address
PO BOX 246, NEW CASTLE, VA 24127-0246
(502) 544-1810

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414433
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401414433
VA LICENSE
VA
Enumeration date
06/05/2014
Last updated
06/05/2014
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