Courthouse Pediatric Dentistry Pllc
NPI #1790573731 in Gloucester, Virginia
Provider Information
- NPI Number
- 1790573731
- Entity Type
- Organization
- Organization Name
- Courthouse Pediatric Dentistry Pllc
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Apr 29, 2025
- Last Updated
- Apr 29, 2025
Practice Location
- Address
- 6750 MAIN ST
- City
- Gloucester
- State
- Virginia
- ZIP Code
- 23061-5517
- Phone
- (804) 695-2575
Authorized Official
- Name
- CHRIS L CANNON
- Title
- RCM
- Phone
- (804) 695-2575
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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