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Individual

DR. ROBERT OMER KENDIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
8010 RIDGE RD, SUITE #1, RICHMOND, VA 23229-7288
(804) 282-2323
(804) 282-0349
Mailing address
8010 RIDGE RD, SUITE #1, RICHMOND, VA 23229-7288
(804) 282-2323
(804) 282-0349

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401005243
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006645
ANTHEM PROVIDER #
VA
01
525434
UNITED CONCORDIA PROVIDER
VA
05
8100047
VA
Enumeration date
06/07/2006
Last updated
07/09/2007
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