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Organization
BRUCE W. OVERTON DDS PC
Active
Organization
BRUCE W. OVERTON DDS PC
Active
Other names
Dominion Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WAYNE OVERTON DDS (PRESIDENT/OWNER)
(804) 744-3636
Entity
Organization
Contact information
Practice address
6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 744-3636
(804) 744-6365
Mailing address
6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 744-3636
(804) 744-6365
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NULL
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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