Individual
DR. JACOB D JUSTICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
807 PARK AVE NE, NORTON, VA 24273-1009
(276) 679-6030
(276) 325-0459
Mailing address
PO BOX 1500, ELKHORN CITY, KY 41522
(606) 754-0155
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416829
VA
1223G0001X
General Practice Dentistry
10032
KY
Other
Enumeration date
09/20/2017
Last updated
01/06/2021
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