Organization
MARLON A GOAD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARLON A GOAD DDS (DENTIST)
(276) 728-5899
Entity
Organization
Contact information
Practice address
1201 N MAIN ST, HILLSVILLE, VA 24343
(276) 728-5899
(276) 728-2706
Mailing address
PO BOX 479, HILLSVILLE, VA 24343
(276) 728-5899
(276) 728-2706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6537
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178625
—
VA
Enumeration date
12/06/2007
Last updated
12/06/2007
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