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Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Organization
COMMONWEALTH OF VIRGINIA STATE BOARD OF HEALTH
Active
Other names
Virginia Department of Health Division of Dental Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID SUTTLE MD (DIRECTOR, OFFICE OF FAMILY HEALTH)
(804) 864-7650
Entity
Organization
Contact information
Practice address
109 GOVERNOR ST, RICHMOND, VA 23219-3623
(804) 864-7774
Mailing address
109 GOVERNOR ST RM 927, RICHMOND, VA 23219-3623
(804) 864-7774
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
VA
Other
Enumeration date
11/20/2009
Last updated
01/13/2010
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