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Individual

DR. BRIAN CHANDLER OTT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1769 WORTH PARK, CHARLOTTESVILLE, VA 22911-7441
(434) 964-0088
Mailing address
1751 WINTERBERRY CT, CHARLOTTESVILLE, VA 22911-8249
(434) 202-2733

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412876
VA

Other

Enumeration date
07/25/2010
Last updated
07/25/2010
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