Pediatric Dentistry & Orthodontics of Va
NPI #1730627357 in Midlothian, Virginia
Provider Information
- NPI Number
- 1730627357
- Entity Type
- Organization
- Organization Name
- Pediatric Dentistry & Orthodontics of Va
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL VIRGINIA DENTAL CARE
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 2, 2017
- Last Updated
- Feb 2, 2017
Practice Location
- Address
- 13841 HULL STREET RD
- Address 2
- SUITE 4
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23112-2056
- Phone
- (804) 739-0963
Authorized Official
- Name
- DR. DAVID L KEETON, D.M.D.
- Title
- MANAGER
- Phone
- (804) 739-0963
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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