Individual
DR. MURR ROY OETTINGER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2979 RIVER ROAD WEST, GOOCHLAND, VA 23063-0729
(804) 556-2540
Mailing address
2979 RIVER ROAD WEST, GOOCHLAND, VA 23063-0729
(804) 556-2540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004350
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0401004350
DENTAL LICENSE
VA
01
—
AO6197493
BND#
VA
Enumeration date
06/29/2007
Last updated
07/08/2007
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