Individual
DR. EDINA GORMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6353 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111
(804) 730-3400
Mailing address
1612 HUGUENOT RD, MIDLOTHIAN, VA 23113
(804) 794-9789
(804) 419-1059
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
018.002032
IL
Other
Enumeration date
07/09/2017
Last updated
08/24/2021
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