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Organization
ANTONE EXUM DDS
Active
Organization
ANTONE EXUM DDS
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. ANTONE C EXUM DDS (DENTIST/OWNER)
(804) 212-2501
Entity
Organization
Contact information
Practice address
10124 W BROAD ST, STE Q, GLEN ALLEN, VA 23060-3330
(804) 212-2501
(804) 887-6238
Mailing address
10124 W BROAD ST, STE Q, GLEN ALLEN, VA 23060-3330
(804) 212-2501
(804) 887-6238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006994
VA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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