DR. Justin Neil Tebbenkamp, DDS

NPI #1316102296 in Blacksburg, Virginia

Provider Information

NPI Number: 1316102296
Entity Type: Individual
Name: DR. Justin Neil Tebbenkamp, DDS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Jul 21, 2008
Last Updated: Oct 5, 2010

Practice Location

Address: 1305 N MAIN ST
City: Blacksburg
State: Virginia
ZIP Code: 24060-3129
Phone: (540) 961-3279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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