Individual
DR. JIM MISTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
481 GARRISONVILLE RD STE 105, STAFFORD, VA 22554-1601
(540) 659-4900
(540) 659-4935
Mailing address
481 GARRISONVILLE RD STE 105, STAFFORD, VA 22554-1601
(540) 659-4900
(540) 659-4935
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411764
VA
Other
Enumeration date
01/08/2007
Last updated
02/06/2012
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