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Individual

DR. KEITH HOWARD AUSTIN

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3718 OLD FOREST RD, LYNCHBURG, VA 24501-6900
(434) 385-6000
(434) 385-6219
Mailing address
3718 OLD FOREST RD, LYNCHBURG, VA 24501-6900
(434) 385-6000
(434) 385-6219

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005610
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
005927
BLUE CROSS BLUE SHIELD
VA
Enumeration date
01/24/2006
Last updated
07/08/2007
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