Organization
COMMONWEALTH DENTAL ANESTHESIA ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HEATHER BALLENTINE DDS (DENTIST ANESTHESIOLOGIST)
(646) 789-3860
Entity
Organization
Contact information
Practice address
1101 HAXALL PT, UNIT 1004, RICHMOND, VA 23219-3941
(434) 242-5446
Mailing address
1101 HAXALL PT, UNIT 1004, RICHMOND, VA 23219-3941
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
—
VA
Other
Enumeration date
07/28/2015
Last updated
07/28/2015
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