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Dr. Jim Misto, DDS

Dentist in Stafford, VA. Individual provider (NPI-1).

NPI number1710035233
StatusActive
Last updated in NPPESFeb 6, 2012

Details

NPI
1710035233
Entity type
Individual (NPI-1)
Name
Dr. Jim Misto
Credential
DDS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jan 8, 2007
Last updated
Feb 6, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X Dentist0401411764VAYes

Practice location

481 Garrisonville Rd Ste 105
Stafford, VA 22554-1601

Phone 540-659-4900 · Fax 540-659-4935

Mailing address

481 Garrisonville Rd Ste 105
Stafford, VA 22554-1601

Phone 540-659-4900 · Fax 540-659-4935

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