Most Relevant Information
Provider Data
| NPI Number: | 1003216151 |
| Provider Name: | JAMES RYLAND GWALTNEY |
| Entity Type: | Individual |
| Taxonomy Code: | 1223G0001X |
| Specialty: | Dentist |
| License Number: | 0401414513 |
Most Important Dates
| Enumeration Date: | 08/26/2014 |
| Last Updated: | 08/26/2014 |
Provider Practice Location
2486 PRUDEN BLVD
SUFFOLK
VA
234344206
Practice Location Phone/Fax
| Phone: | 7575374221 |
| Fax: |
Provider Mailing Location
2486 PRUDEN BLVD
SUFFOLK
VA
234344206
Provider Mailing Phone/Fax
| Phone: | 7575374221 |
| Fax: |