Commonwealth Pediatric Dentistry, Pllc
NPI #1982140620 in Midlothian, Virginia
Provider Information
- NPI Number
- 1982140620
- Entity Type
- Organization
- Organization Name
- Commonwealth Pediatric Dentistry, Pllc
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- CENTRAL VIRGINIA DENTAL CARE PLC
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Jan 18, 2017
- Last Updated
- Jan 18, 2017
Practice Location
- Address
- 6661 LAKE HARBOUR DR
- City
- Midlothian
- State
- Virginia
- ZIP Code
- 23112-2082
- Phone
- (804) 363-4283
Authorized Official
- Name
- LAURI HENDERSON
- Title
- ADMINISTRATIVE ASSISTANT
- Phone
- (804) 363-4283
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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