Bryan Lee Dixon DDS

NPI 1083801757 - Dentist - 122300000X

NPI Details
NPI 1083801757
Gender Male
Enumeration Date 09/26/2007
Last Updated 09/26/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
456 CHARLES H DIMMOCK PKWY STE 5
COLONIAL HEIGHTS VA, 23834-2936, US
Phone (804) 520-4088
Fax
Business Location
456 CHARLES H DIMMOCK PKWY STE 5
COLONIAL HEIGHTS VA, 23834-2936, US
Phone (804) 520-4088
Fax
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401008592
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According to our database, Bryan Lee Dixon DDS NPI is 1083801757, taxonomy code is 122300000X and license number is 0401008592, license state is located at Virginia. Bryan Lee Dixon DDS physically located at 456 Charles H Dimmock Pkwy Ste 5, Colonial Heights VA, 23834-2936. NPI Number Bryan Lee Dixon DDS has the Individual type.

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1083801757 NPI number is provided on an as is basis without warranty of any kind. 1083801757 is maintained by the National Plan & Provider Enumeration System. The contents of Bryan Lee Dixon DDS are for informational purposes only.