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Organization
SHORT PUMPS DENTAL
Active
Organization
SHORT PUMPS DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN T HAUEIS DMD (DENTIST / OWNER)
(804) 747-0116
Entity
Organization
Contact information
Practice address
3811 WESTERRE PKWY, SUITE C, HENRICO, VA 23233-1329
(804) 747-0116
(804) 747-6881
Mailing address
3811 WESTERRE PKWY, SUITE C, HENRICO, VA 23233-1329
(804) 747-0116
(804) 747-6881
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007159
VA
1223G0001X
General Practice Dentistry
0401008563
VA
Other
Enumeration date
01/17/2007
Last updated
04/28/2021
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