Organization · Type 2 NPI
St. Mary's Health Wagon
Dental Clinic/Center · Wise, VA
NPI number
1083324735
Active
Practice location
5628 Patriot Drive
Wise, VA 24293
Mailing address
PO Box 7070
Wise, VA 24293-7070
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
About NPI 1083324735
St. Mary's Health Wagon's National Provider Identifier is 1083324735, issued on Dec 2, 2022. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Wise, VA. The record was last updated on Aug 12, 2024.