Mountain Kids, Inc.

NPI #1235140716 in North Tazewell, Virginia

Provider Information

NPI Number: 1235140716
Entity Type: Organization
Organization Name: Mountain Kids, Inc.
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 10, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 200 EAST RIVERSIDE DRIVE
City: North Tazewell
State: Virginia
ZIP Code: 24630
Phone: (276) 988-5583

Authorized Official

Name: DR. MARCUS BRANDON BUSKILL, DDS
Title: DENTIST
Phone: (276) 988-5583

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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