Gd Va Brsl, Pllc

NPI #1194409201 in Richmond, Virginia

Provider Information

NPI Number: 1194409201
Entity Type: Organization
Organization Name: Gd Va Brsl, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 12, 2023
Last Updated: Jun 12, 2023

Practice Location

Address: 6901 PATTERSON AVE
City: Richmond
State: Virginia
ZIP Code: 23226-3627
Phone: (804) 288-5324

Authorized Official

Name: CHAD HENDRICKS
Title: CREDENTIALING
Phone: (612) 859-0444

Specialties & Taxonomy Codes

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

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