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Organization
DANIEL TIESWORTH DDS
Active
Organization
DANIEL TIESWORTH DDS
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Authorized official
LAURI HENDERSON (ASSISTANT)
(804) 897-3600
Entity
Organization
Contact information
Practice address
11435 ROBIOUS RD, NORTH CHESTERFIELD, VA 23235-4309
(804) 330-4324
Mailing address
1206 PONDOLA LN, SOUTH CHESTERFIELD, VA 23834-1636
(804) 897-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/08/2022
Last updated
11/08/2022
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