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Organization

ODIE A. WHITLOW, D.D.S.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ODIE A. WHITLOW JR. D.D.S. (DENTIST)
(804) 222-3310
Entity
Organization

Contact information

Practice address
7063 MESSER RD, RICHMOND, VA 23231-5509
(804) 222-3310
(804) 222-6973
Mailing address
7063 MESSER RD, RICHMOND, VA 23231-5509
(804) 222-3310
(804) 222-6973

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401004181
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1972580728
TYPE I NPI
VA
Enumeration date
05/10/2007
Last updated
07/25/2007
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