Organization
JERYL A ABBOTT DDS PC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. JERYL A ABB0TT DDS (OWNER)
(804) 379-9177
Entity
Organization
Contact information
Practice address
151 LE GORDON DR, MIDLOTHIAN, VA 23114-4333
(804) 379-9177
(804) 379-9196
Mailing address
1215 HYDE LN, HENRICO, VA 23229-6064
(804) 387-6340
(804) 379-9196
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/19/2016
Last updated
10/19/2016
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