Organization
ELLIS FAMILY DENTISTRY
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. JONATHAN HUNTER ELLIS DDS (DENTIST/OWNER)
(804) 458-6733
Entity
Organization
Contact information
Practice address
3416 WOODLAWN ST, HOPEWELL, VA 23860-4738
(804) 458-6733
Mailing address
3416 WOODLAWN ST, HOPEWELL, VA 23860-4738
(804) 458-6733
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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