Individual
DR. KIMBERLY S. SWANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
8503 PATTERSON AVE, SUITE A, RICHMOND, VA 23229-6442
(804) 354-1600
(804) 354-1607
Mailing address
PO BOX 71930, RICHMOND, VA 23255-1930
(804) 354-1600
(804) 354-1607
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
0401007423
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C02366
MEDICARE GROUP
—
Enumeration date
05/16/2006
Last updated
11/29/2007
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