Organization
JUST FOR GRINS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM HARTEL DMD (DENTIST/OWNER)
(276) 494-0508
Entity
Organization
Contact information
Practice address
1941 EUCLID AVE, BRISTOL, VA 24201-3607
(276) 494-0508
(276) 494-0508
Mailing address
1941 EUCLID AVE, BRISTOL, VA 24201-3607
(276) 494-0508
(276) 494-0508
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/21/2018
Last updated
12/21/2018
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