Organization
PEDIATRIC DENTISTRY OF VIRGINIA, PLLC
Active
Other names
Hanover Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW D ZIMA JR. DDS (PEDIATRIC DENTIST)
(804) 746-7382
Entity
Organization
Contact information
Practice address
8203 CENTER PATH LANE, SUITE A, MECHANICSVILLE, VA 23116
(804) 746-7382
(804) 746-3025
Mailing address
8203 CENTER PATH LANE, SUITE A, MECHANICSVILLE, VA 23116
(804) 746-7382
(804) 746-3025
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
0401411085
VA
1223P0221X
Pediatric Dentistry
Primary
0401412165
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9179294
—
VA
Enumeration date
07/02/2009
Last updated
10/11/2009
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