Organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Active
Parent organization
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Other names
Dental Care at Cosby Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
DENTAL PROFESSIONALS OF VIRGINIA, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
15884 HULL STREET RD, CHESTERFIELD, VA 23832-2178
(804) 575-3320
(804) 575-3324
Mailing address
15884 HULL STREET RD, CHESTERFIELD, VA 23832-2178
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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