Organization
MICHAEL R HANLEY DDS
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. MICHAEL RAYMOND HANLEY D.D.S. (DENTIST OWNER)
(804) 530-3539
Entity
Organization
Contact information
Practice address
13295 RIVERS BEND BLVD, CHESTER, VA 23836-8610
(804) 530-3539
(804) 530-5617
Mailing address
13295 RIVERS BEND BLVD, CHESTER, VA 23836-8610
(804) 530-3539
(804) 530-5617
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401006683
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9179583
—
VA
Enumeration date
05/02/2016
Last updated
01/19/2017
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