Individual
JUSTIN PATRICK FEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2320 COMMONWEALTH DR, CHARLOTTESVILLE, VA 22901-1622
(434) 260-5779
Mailing address
4219 BENVENUE RD, HAYMARKET, VA 20169-2444
(571) 469-1079
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416066
VA
Other
Enumeration date
06/21/2018
Last updated
06/21/2018
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