Individual
DR. KEITH ELDRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
6441 IRONBRIDGE ROAD, NORTH CHESTERFIELD, VA 23234
(804) 743-8166
(804) 419-1059
Mailing address
1612 HUGUENOT RD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401414470
VA
Other
Enumeration date
07/01/2014
Last updated
08/20/2021
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