Individual
DR. ELLEN RIVES OERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
2425 BOULEVARD, SUITE 8, COLONIAL HEIGHTS, VA 23834-2317
(804) 520-0000
Mailing address
2425 BOULEVARD, SUITE 8, COLONIAL HEIGHTS, VA 23834-2324
(804) 520-0000
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
VA
Other
Enumeration date
12/09/2005
Last updated
07/08/2007
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