Individual
DR. DECLAN KINGSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1211 MACTAVISH AVE APT 901T, RICHMOND, VA 23230-4768
(757) 876-9493
Mailing address
1211 MACTAVISH AVE APT 901T, RICHMOND, VA 23230-4768
(757) 876-9493
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401418547
VA
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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