John W Lynn Dds Ltd | |
104 Morton Avenue Petersburg VA 23805 | |
(804) 732-0056 | |
(804) 732-1420 |
Full Name | John W Lynn Dds Ltd |
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Speciality | Dentist - General Practice |
Location | 104 Morton Avenue, Petersburg, Virginia |
Authorized Official Name and Position | John Worth Lynn (PRESIDENT OWNER) |
Authorized Official Contact | 8044320056 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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John W Lynn Dds Ltd 104 Morton Avenue Petersburg VA 23805 Ph: (804) 732-0056 | John W Lynn Dds Ltd 104 Morton Avenue Petersburg VA 23805 Ph: (804) 732-0056 |
NPI Number | 1952573297 |
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Provider Enumeration Date | 03/27/2008 |
Last Update Date | 03/27/2008 |
Identifier | Type | State | Issuer |
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1952573297 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | 0401002896 (Virginia) | Primary |
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