Organization
FAMILY DENTAL OF VIRGINIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHLOE DECOSTER (SENIOR MANAGER)
(312) 274-4529
Entity
Organization
Contact information
Practice address
3904 HULL STREET RD, SUITE A, RICHMOND, VA 23224-1714
(804) 233-0007
Mailing address
3904 HULL STREET RD, SUITE A, RICHMOND, VA 23224-1714
(804) 233-0007
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
02/10/2025
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