Richmond Smiles Youth Dentistry, LLC

NPI #1073582235 in Richmond, Virginia

Provider Information

NPI Number: 1073582235
Entity Type: Organization
Organization Name: Richmond Smiles Youth Dentistry, LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Mar 17, 2006
Last Updated: Jul 9, 2014

Practice Location

Address: 5322 CHAMBERLAYNE AVE
City: Richmond
State: Virginia
ZIP Code: 23227-2203
Phone: (804) 266-5040

Authorized Official

Name: MRS. JENELL STUMP
Title: MANAGER, LICENSING & CREDENTIALING
Phone: (615) 750-0343

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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