Organization
MELANIE L. BOONE, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELANIE LYNN BOONE DDS (PRESIDENT)
(804) 264-0224
Entity
Organization
Contact information
Practice address
5734 BROOK RD, BROOK RUN SHOPPING CENTER, RICHMOND, VA 23227-2276
(804) 264-0224
(804) 264-0229
Mailing address
5734 BROOK RD, BROOK RUN SHOPPING CENTER, RICHMOND, VA 23227-2276
(804) 264-0224
(804) 264-0229
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
0401410483
VA
Other
Enumeration date
09/12/2007
Last updated
09/12/2007
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