Organization
SOUTH HOLSTON DENTAL DESIGNS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIA MILLER (ACCOUNTING)
(276) 466-9800
Entity
Organization
Contact information
Practice address
15325 LEE HWY, BRISTOL, VA 24202-4013
(276) 466-9800
(276) 591-5959
Mailing address
15325 LEE HWY, BRISTOL, VA 24202-4013
(276) 466-9800
(276) 591-5959
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401008559
VA
Other
Enumeration date
08/29/2017
Last updated
07/21/2022
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