JESSERWALLDDSPA

DANVILLE, VA
NPI1104090067
Entity TypeOrganization
Authorized ContactJESSE WALL
President
434-792-1512
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: VA  5098)
Enumeration Date2008-04-22
Last Update Date2008-04-22
Business Address
JESSERWALLDDSPA
1045 MAIN ST SUITE 6
DANVILLE, VA 24541-1800
Phone number: 434-792-8622
Mailing Address
JESSERWALLDDSPA
1045 MAIN ST SUITE 6
DANVILLE, VA 24541-1800
Phone number: 434-792-8622