Dental Professionals of Virginia, P.c.
NPI #1962813402 in Glen Allen, Virginia
Provider Information
- NPI Number
- 1962813402
- Entity Type
- Organization
- Organization Name
- Dental Professionals of Virginia, P.c.
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DENTAL PROFESSIONALS OF VIRGINIA, P.C.
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 19, 2014
- Last Updated
- May 19, 2014
Practice Location
- Address
- 11549 NUCKOLS RD STE A
- City
- Glen Allen
- State
- Virginia
- ZIP Code
- 23059-5664
- Phone
- (804) 527-2982
Authorized Official
- Name
- KIM WILSON
- Title
- CRED SUPERVISOR
- Phone
- (217) 540-5170
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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