Organization
RUSSELL CLEVELAND DDS
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. RUSSELL ALAN CLEVELAND DDS (DENTIST/OWNER)
(804) 794-4564
Entity
Organization
Contact information
Practice address
1670 HUGUENOT RD, MIDLOTHIAN, VA 23113-2427
(804) 794-4564
(804) 794-9389
Mailing address
1670 HUGUENOT RD, MIDLOTHIAN, VA 23113-2427
(804) 794-4564
(804) 794-9389
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006305
VA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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