Organization
BRUSH UP DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON T LIPSCOMB DDS PC (DENTIST)
(804) 986-4058
Entity
Organization
Contact information
Practice address
7000 FOREST AVE, #800, RICHMOND, VA 23230
(804) 673-5280
Mailing address
7000 FOREST AVE, #800, RICHMOND, VA 23230
(804) 673-5280
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
0401410585
VA
Other
Enumeration date
08/19/2015
Last updated
08/19/2015
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