Individual
DR. JOHN WORTH LYNN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
104 MORTON AVE, PETERSBURG, VA 23805-2750
(804) 732-0056
(804) 732-1420
Mailing address
104 MORTON AVE, PETERSBURG, VA 23805-2750
(804) 732-0056
(804) 732-1420
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
02896
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805675
—
VA
Enumeration date
11/02/2005
Last updated
07/08/2007
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