Individual
DR. DARRYL JOHN PIROK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS
Contact information
Practice address
247 GLOUCESTER ROAD, SALUDA, VA 23149
(804) 758-4870
(804) 758-4873
Mailing address
PO BOX 608, URBANNA, VA 23175
(804) 758-4870
(804) 758-4873
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401005020
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0438000125
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
112371
UNITED CONCORDIA
VA
Enumeration date
06/07/2007
Last updated
08/08/2012
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