# A-Z TOTAL DENTAL ART STUDIO, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A-Z dental art studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1144094475
- **Authorized official:** DR. ASHLEE P GOODMAN-TABARI DMD (OWNER)
- **Authorized official phone:** (804) 767-2507

## Contact information

- **Practice address:** 10220 STAPLES MILL RD, GLEN ALLEN, VA 23060-3064
- **Practice address phone:** (804) 767-2507
- **Practice address fax:** (804) 767-2571
- **Mailing address:** 10220 STAPLES MILL RD, GLEN ALLEN, VA 23060-3064
- **Mailing address phone:** (804) 767-2507
- **Mailing address fax:** (804) 767-2571

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 11/07/2023
- **Last updated:** 11/07/2023