Individual
JULIEN GUH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
VIRGINIA FAMILY DENTISTRY SHORT PUMP, 12040 W BROAD ST, HENRICO, VA 23233
(804) 364-7010
Mailing address
3008 FARMSTEAD MILL DR., GLEN ALLEN, VA 23059-8037
(703) 254-6292
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417023
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/28/2020
Last updated
08/16/2022
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