Individual
TIRA V ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
(804) 783-2514
Mailing address
517 W GRACE ST, RICHMOND, VA 23220-4911
(804) 783-2505
(804) 783-2514
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402203492
VA
Other
Enumeration date
03/23/2010
Last updated
03/23/2010
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