Cynthia Martin Southern DDS

NPI 1881700250 - Dentist - 122300000X

NPI Details
NPI 1881700250
Gender Female
Enumeration Date 08/21/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
62 E MAIN STREET
PULASKI VA, 24301, US
Phone (540) 280-5129
Fax (540) 980-5179
Business Location
62 E MAIN STREET
PULASKI VA, 24301, US
Phone (540) 280-5129
Fax (540) 980-5179
Toxanomy
Taxonomy Code 122300000X
License State Virginia
License Number 0401410201
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According to our database, Dr. Cynthia Martin Southern DDS NPI is 1881700250, taxonomy code is 122300000X and license number is 0401410201, license state is located at Virginia. Cynthia Martin Southern DDS physically located at 62 E Main Street, Pulaski VA, 24301. NPI Number Cynthia Martin Southern DDS has the Individual type.

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1881700250 NPI number is provided on an as is basis without warranty of any kind. 1881700250 is maintained by the National Plan & Provider Enumeration System. The contents of Cynthia Martin Southern DDS are for informational purposes only.