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Individual

DOUGLAS LEE STARNS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
240 HYDRAULIC RIDGE RD, SUITE 102, CHARLOTTESVILLE, VA 22901
(434) 973-1392
(434) 973-1313
Mailing address
240 HYDRAULIC RIDGE RD, SUITE 102, CHARLOTTESVILLE, VA 22901
(434) 973-1392
(434) 973-1313

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005787
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2751836
VA EMPLOYMENT COMMISSION
VA
Enumeration date
08/29/2006
Last updated
09/25/2007
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