Organization
COMMONWEALTH PEDIATRIC DENTISTRY, PLLC
Active
Other names
Farmville Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW DAVID ZIMA JR. DDS, MSD (OWNER/DENTIST)
(804) 339-6957
Entity
Organization
Contact information
Practice address
201 A ST, FARMVILLE, VA 23901-1613
(804) 339-6957
Mailing address
201 A ST, FARMVILLE, VA 23901-1613
(804) 339-6957
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401412165
VA
Other
Enumeration date
07/05/2013
Last updated
07/05/2013
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