Individual
JUSTIN TYME ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 LORETTO DR, WYTHEVILLE, VA 24382-2076
(276) 228-2222
Mailing address
210 LORETTO DR, WYTHEVILLE, VA 24382-2076
(276) 228-2222
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401418913
VA
Other
Enumeration date
05/28/2024
Last updated
05/30/2024
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