Organization
SMYTH CO HEALTH DEPT DENTAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNA H STEVENS (BUSINESS MGR)
(276) 781-7450
Entity
Organization
Contact information
Practice address
201 FRANCIS MARION LANE, MARION, VA 24375
(276) 781-7460
(276) 781-7465
Mailing address
201 FRANCIS MARION LANE, MARION, VA 24354
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
0401005315
VA
Other
Enumeration date
10/06/2006
Last updated
08/22/2020
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