Individual
ANIKET BHASKAR JADHAV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MDS.
Contact information
Practice address
520 N 12TH ST # 315, RICHMOND, VA 23298-5064
(804) 828-1778
Mailing address
4939 TURNER RIDGE CT, GLEN ALLEN, VA 23059-5925
(904) 302-4852
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416278
VA
122300000X
Dentist
29671
TX
1223X0008X
Oral and Maxillofacial Radiology Dentistry
0401416278
VA
1223X0008X
Oral and Maxillofacial Radiology Dentistry
29671
TX
Other
Enumeration date
08/12/2010
Last updated
10/02/2023
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