South Holston Dental Designs

NPI #1871010850 in Bristol, Virginia

Provider Information

NPI Number: 1871010850
Entity Type: Organization
Organization Name: South Holston Dental Designs
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Aug 29, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 15325 LEE HWY
City: Bristol
State: Virginia
ZIP Code: 24202-4013
Phone: (276) 466-9800

Authorized Official

Name: MRS. VALERIA MILLER
Title: ACCOUNTING
Phone: (276) 466-9800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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