Organization
GEORGE PLATHOTTAM DMD PC
Active
Other names
Innsbrook Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE VARKEY PLATHOTTAM DMD (PRESIDENT)
(804) 270-9989
Entity
Organization
Contact information
Practice address
9840 B WEST BROAD ST, GLEN ALLEN, VA 23060
(804) 270-9989
(804) 270-9296
Mailing address
9840 B WEST BROAD ST, GLEN ALLEN, VA 23060
(804) 270-9989
(804) 270-9296
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110963
—
VA
Enumeration date
10/05/2006
Last updated
08/22/2020
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