Individual
DR. WILLIAM O DAHLKE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2560 GASKINS RD, RICHMOND, VA 23238-1468
(804) 741-2226
Mailing address
2560 GASKINS RD, RICHMOND, VA 23238-1468
(804) 741-2226
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401414611
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100510130
—
NV
Enumeration date
11/17/2006
Last updated
05/04/2021
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