Organization
RUSSELL MOSHER, DDS, PC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. RUSSELL N. MOSHER DDS (DENTIST/OWNER)
(804) 379-6971
Entity
Organization
Contact information
Practice address
1320 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 379-6971
(807) 379-2796
Mailing address
1320 ALVERSER PLZ, MIDLOTHIAN, VA 23113-2604
(804) 379-6971
(807) 379-2796
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007113
VA
Other
Enumeration date
10/26/2016
Last updated
12/28/2016
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