Individual
DR. JOSEPHINA LAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS., MS.
Contact information
Practice address
10164 W BROAD ST, GLEN ALLEN, VA 23060-3303
(804) 918-5850
(804) 918-3901
Mailing address
10164 W BROAD ST, GLEN ALLEN, VA 23060-3303
(804) 918-5850
(804) 918-3901
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401102666
VA
Other
Enumeration date
04/25/2007
Last updated
09/10/2018
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