Individual
ANNA MOORE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
4909 GROVE AVE, RICHMOND, VA 23226-1649
(804) 355-3100
Mailing address
4909 GROVE AVE, RICHMOND, VA 23226-1649
(804) 355-3100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401415150
VA
Other
Enumeration date
03/20/2015
Last updated
08/06/2019
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