Individual
DR. MICHAEL PATRICK GWALTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1705 AMHERST ST STE L02, WINCHESTER, VA 22601-3346
(540) 773-3282
(540) 773-3284
Mailing address
1705 AMHERST ST STE L02, WINCHESTER, VA 22601-3346
(540) 773-3282
(540) 773-3284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007868
VA
Other
Enumeration date
04/22/2010
Last updated
09/10/2021
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