Individual
DR. MICHAEL TROY BOARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1250 E MARSHALL ST, RICHMOND, VA 23298-5051
(804) 828-9000
Mailing address
5357 SNOW OWL DR, ROANOKE, VA 24018-5076
(540) 588-2645
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401416569
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
0401416569
VA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
0401416569
VA
Other
Enumeration date
06/25/2019
Last updated
09/19/2019
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