Individual
DR. DIANA MARCHIBRODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
9605 CRITZER SHOP RD, AFTON, VA 22920-2416
(540) 456-6571
(540) 456-6535
Mailing address
237 NEWTOWN RD, GREENWOOD, VA 22943-1700
(540) 456-8532
(540) 456-6535
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005845
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805284
—
VA
Enumeration date
07/04/2006
Last updated
07/08/2007
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