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Organization
RONALD C MAMRICK, DDS PC
Active
Organization
RONALD C MAMRICK, DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RONALD MAMRICK DDS (PRESIDENT)
(804) 423-1600
Entity
Organization
Contact information
Practice address
1807 HUGUENOT RD, SUITE 124, MIDLOTHIAN, VA 23113-5604
(804) 423-1600
(804) 423-1602
Mailing address
1807 HUGUENOT RD, SUITE 124, MIDLOTHIAN, VA 23113-5604
(804) 423-1600
(804) 423-1602
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410863
VA
Other
Enumeration date
02/23/2009
Last updated
02/23/2009
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