Organization
VCU PREDOCTORAL DENTAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES DONALD PARRIS (DIRECTOR, PATIENT BUSINESS SERVICES)
(804) 628-7146
Entity
Organization
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
(804) 628-2001
Mailing address
521 N 11TH ST, RICHMOND, VA 23298-5016
(804) 628-7146
(804) 628-2001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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