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Organization
NEW KENT DENTAL CARE
Active
Organization
NEW KENT DENTAL CARE
Active
Other names
New Kent Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL WILLIAM MCCRADY PHD, DDS (OWNER)
(804) 405-6995
Entity
Organization
Contact information
Practice address
2690 DISPATCH RD, QUINTON, VA 23141-1726
(804) 405-6995
Mailing address
2690 DISPATCH RD, QUINTON, VA 23141-1726
(804) 405-6995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008640
VA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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