Vcu Diagnostic Services LLC

NPI #1003302472 in Richmond, Virginia

Provider Information

NPI Number
1003302472
Entity Type
Organization
Organization Name
Vcu Diagnostic Services LLC
Subpart
Yes (part of a larger organization)
Parent Organization
DENTISTRY VCU
Primary Specialty
Dentist - Oral and Maxillofacial Pathology
Enumeration Date
Jul 9, 2018
Last Updated
Nov 6, 2018

Practice Location

Address
520 N 12TH ST # 315
ZIP Code
23298-5064
Phone
(804) 828-9190

Authorized Official

Name
MR. JAMES DONALD PARRIS
Title
DIRECTOR, CLINICAL BUSINESS SERVICE
Phone
(804) 828-0789

Specialties & Taxonomy Codes

Specialty
Dentist - Oral and Maxillofacial PathologyOral and Maxillofacial Pathology

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