Organization
CENTRAL VIRGINIA DENTAL CARE PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURI HENDERSON (ADMINISTRATIVE ASSISTANT)
(804) 363-4283
Entity
Organization
Contact information
Practice address
1206 PONDOLA LN, SOUTH CHESTERFIELD, VA 23834-1636
(804) 897-3600
Mailing address
1206 PONDOLA LN, SOUTH CHESTERFIELD, VA 23834-1636
(804) 897-3600
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
09/16/2024
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