Individual
JOSHUA IRBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
410 MINERAL ST, SOUTH BOSTON, VA 24592-3716
(434) 572-4928
Mailing address
405 CEDAR RIDGE TER, SOUTH BOSTON, VA 24592-2936
(434) 470-2478
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401417931
VA
1223G0001X
General Practice Dentistry
0401417931
VA
Other
Enumeration date
06/23/2022
Last updated
07/08/2024
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