Individual
DR. MARLON A GOAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1202 N MAIN ST, HILLSVILLE, VA 24343
(276) 728-5899
(276) 728-2706
Mailing address
PO BOX 479, HILLSVILLE, VA 24343
(276) 728-5899
(276) 728-2706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178625
—
VA
Enumeration date
10/25/2006
Last updated
07/08/2007
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