Individual
DR. CHRISTIAN SCOTT TABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
12000 WYNDHAM LAKE DR, SUITE A, GLEN ALLEN, VA 23059-7072
(804) 364-7122
(804) 364-8898
Mailing address
12000 WYNDHAM LAKE DR, SUITE A, GLEN ALLEN, VA 23059-7072
(804) 364-7122
(804) 364-8898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410249
VA
Other
Enumeration date
07/21/2005
Last updated
09/06/2007
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