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728 Commonwealth Dr Norton VA 24273-4051 | |
| (276) 679-7171 | |
| (276) 679-7222 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 728 Commonwealth Dr, Norton, Virginia |
| Authorized Official Name and Position | Newton Carroll Mullins (OWNER) |
| Authorized Official Contact | 2766797171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
728 Commonwealth Dr Norton VA 24273-4051 Ph: (276) 679-7171 | 728 Commonwealth Dr Norton VA 24273-4051 Ph: (276) 679-7171 |
| NPI Number | 1467634980 |
|---|---|
| Provider Enumeration Date | 11/27/2007 |
| Last Update Date | 11/27/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467634980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 0401004680 (Virginia) | Primary |
Dr Olivia Stallards Downtown Dental Pllc Dental Clinic Medicare: Medicare Enrolled Practice Location: 616 Market Pl Sw, Norton, VA 24273 Phone: 276-325-0194 |