Individual
DR. BRUCE WAYNE OVERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6037 HARBOUR PARK DRIVE, MIDLOTHIAN, VA 23112
(804) 744-3636
(804) 744-6365
Mailing address
6037 HARBOUR PARK DRIVE, MIDLOTHIAN, VA 23112
(804) 744-3636
(804) 744-6365
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
0401007578
VA
Other
Enumeration date
12/11/2006
Last updated
07/08/2007
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