Individual
DR. KRYSTAL MATTOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
180 E BELT BLVD, RICHMOND, VA 23224-1204
(804) 783-2505
Mailing address
180 E BELT BLVD, RICHMOND, VA 23224-1204
(804) 292-3011
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401416209
VA
1223G0001X
General Practice Dentistry
Primary
0401416209
VA
Other
Enumeration date
07/20/2018
Last updated
06/07/2022
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