# CENTRAL VIRGINIA DENTAL CARE PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063960649
- **Authorized official:** MRS. LAURI HENDERSON (ADMINISTRATIVE ASSISTANT)
- **Authorized official phone:** (804) 363-4283

## Contact information

- **Practice address:** 1206 PONDOLA LN, SOUTH CHESTERFIELD, VA 23834-1636
- **Practice address phone:** (804) 897-3600
- **Mailing address:** 1206 PONDOLA LN, SOUTH CHESTERFIELD, VA 23834-1636
- **Mailing address phone:** (804) 897-3600

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 09/13/2016
- **Last updated:** 09/16/2024