Organization
OLD DOMINION FAMILY DENTAL
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
JOHN A FREEMAN DMD (DENTIST/OWNER)
(804) 270-3080
Entity
Organization
Contact information
Practice address
3290 CHURCH RD, HENRICO, VA 23233-1812
(804) 270-3080
(804) 967-0144
Mailing address
3290 CHURCH RD, HENRICO, VA 23233-1812
(804) 270-3080
(804) 967-0144
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/08/2020
Last updated
10/08/2020
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