Organization
JAY M. BASS D.D.S. P.C.
Active
Other names
NRV Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KEITH ROBERTSON DDS (PRES)
(540) 552-2551
Entity
Organization
Contact information
Practice address
200 E WASHINGTON ST, BLACKSBURG, VA 24060
(540) 552-2551
(540) 961-9864
Mailing address
200 E WASHINGTON ST, BLACKSBURG, VA 24060
(540) 552-2551
(540) 961-9864
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005365
VA
Other
Enumeration date
10/23/2007
Last updated
05/06/2015
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