# VIRGINIA CENTER FOR ADVANCED DENTISTRY, BRANDERMILL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932549110
- **Authorized official:** DR. DEEPA SIMON DDS (PARTNER)
- **Authorized official phone:** (804) 639-8338

## Contact information

- **Practice address:** 2330 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
- **Practice address phone:** (804) 639-8338
- **Practice address fax:** (804) 639-9973
- **Mailing address:** 2330 COLONY CROSSING PL, MIDLOTHIAN, VA 23112-4280
- **Mailing address phone:** (804) 639-8338
- **Mailing address fax:** (804) 639-9973

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2013
- **Last updated:** 07/02/2013