Individual
JOSEPH NIAMTU III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
11319 POLO PL, MIDLOTHIAN, VA 23113-1434
(804) 794-0794
(804) 379-2858
Mailing address
11545-A NUCKOLS ROAD, GLEN ALLEN, VA 23059
(804) 673-8061
(804) 673-5644
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1401006101
VA
Other
Enumeration date
03/30/2006
Last updated
07/08/2007
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