Organization
MIDLOTHIAN CHILDREN'S DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHITAL N PATEL DDS (PEDIATRIC DENTIST)
(804) 517-0117
Entity
Organization
Contact information
Practice address
305 SCHOFIELD DR, MIDLOTHIAN, VA 23113-7331
(804) 517-0117
Mailing address
4717 BRYDES LN, GLEN ALLEN, VA 23059-5827
(804) 517-0117
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401413587
VA
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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