Individual
JULIA DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1206 WILLOW LAWN DR, RICHMOND, VA 23226-1409
(804) 282-6436
Mailing address
1206 WILLOW LAWN DR, RICHMOND, VA 23226-1409
(804) 282-6436
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414244
VA
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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