Jesserwallddspa
Jesserwallddspa provides Dentist services in Danville, Virginia. Licensed in Virginia. Registered with an NPI since 2008.
- Licensed in
- VA
- In the registry since
- 2008
Practice location Address checks out
1045 Main St Ste 6Danville, VA 24541-1800 Not confirmed with CMS for 18 years — call before visiting
Phone: (434) 792-8622
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence 5098 (VA) |
|---|
Record details
| NPI number | 1104090067 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jesse Wall — President · (434) 792-1512 |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | April 22, 2008 |
| Mailing address | 1045 Main St, Suite 6, Danville, VA 24541-1800 |
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