Individual
DR. RICHARD GARLAND COPENHAVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
210 LORETTO DRIVE, WYTHEVILLE, VA 24382
(276) 228-3361
(276) 228-0607
Mailing address
210 LORETTO DRIVE, WYTHEVILLE, VA 24382
(276) 228-3361
(276) 228-0607
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006339
VA
Other
Enumeration date
08/31/2007
Last updated
08/31/2007
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