Organization
MCCARTER, O'CONNOR AND FRIEND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN FRANCIS O'CONNOR D.D.S (OWNER/DENTIST)
(276) 236-7408
Entity
Organization
Contact information
Practice address
206 W WASHINGTON ST, GALAX, VA 24333-2834
(276) 236-7408
Mailing address
206 W WASHINGTON ST, GALAX, VA 24333-2834
(276) 236-7408
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007655
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8200505
—
VA
Enumeration date
05/07/2008
Last updated
05/07/2008
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