Organization
CHESTERFIELD DENTAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PATRICK MCQUADE D.D.S. (OWNER)
(804) 379-7855
Entity
Organization
Contact information
Practice address
30 COURTHOUSE RD, RICHMOND, VA 23236-3124
(804) 379-7855
(804) 379-2159
Mailing address
30 COURTHOUSE RD, RICHMOND, VA 23236-3124
(804) 379-7855
(804) 379-2159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1140507
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007105
—
VA
05
—
9181303
—
VA
Enumeration date
04/09/2008
Last updated
06/19/2008
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