Organization
RICHARD COTTRELL DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD WAYNE COTTRELL DDS (PRESIDENT)
(540) 775-7671
Entity
Organization
Contact information
Practice address
11060 SMILE WAY, KING GEORGE, VA 22485-3470
(540) 775-7671
(540) 775-0626
Mailing address
11060 SMILE WAY, KING GEORGE, VA 22485-3470
(540) 775-7671
(540) 775-0626
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
VA
Other
Enumeration date
10/24/2006
Last updated
08/03/2012
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