Organization
COMMONWEALTH PEDIATRIC DENTISTRY, PLLC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Authorized official
DR. ANDREW ZIMA DDS (DENTIST/OWNER)
(804) 339-6957
Entity
Organization
Contact information
Practice address
7032 FOREST HILL AVE, RICHMOND, VA 23225-1655
(804) 621-8299
Mailing address
201 A ST, FARMVILLE, VA 23901-1613
(804) 339-6957
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401412165
VA
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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