Organization
JOHN W LYNN DDS LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN WORTH LYNN DDS (PRESIDENT OWNER)
(804) 432-0056
Entity
Organization
Contact information
Practice address
104 MORTON AVENUE, PETERSBURG, VA 23805
(804) 732-0056
(804) 732-1420
Mailing address
104 MORTON AVENUE, PETERSBURG, VA 23805
(804) 732-0056
(804) 732-1420
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401002896
VA
Other
Enumeration date
03/27/2008
Last updated
03/27/2008
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