Organization
JOHN KITTRELL DDS
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. JOHN KITTRELL DDS (OWNER/DENTIST)
(804) 359-6471
Entity
Organization
Contact information
Practice address
2600 GROVE AVE, RICHMOND, VA 23220-4366
(804) 359-6471
Mailing address
2600 GROVE AVE, RICHMOND, VA 23220-4366
(804) 359-6471
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5949
VA
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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