Organization
VCU DIAGNOSTIC SERVICES LLC
Active
Parent organization
DENTISTRY VCU
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTISTRY VCU
Authorized official
MR. JAMES DONALD PARRIS (DIRECTOR, CLINICAL BUSINESS SERVICE)
(804) 828-0789
Entity
Organization
Contact information
Practice address
520 N 12TH ST # 315, RICHMOND, VA 23298-5064
(804) 828-9190
(804) 628-2001
Mailing address
520 N 12TH ST # 315, RICHMOND, VA 23298-5064
(804) 828-9190
(804) 628-2001
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
—
—
Other
Enumeration date
07/09/2018
Last updated
11/06/2018
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