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Organization

KING & QUEEN COUNTY DENTAL CLINIC

Active
Parent organization
THREE RIVERS HEALTH DISTRICT
Other names
THREE RIVERS HEALTH DISTRICT
Organization subpart
Yes

Provider details

NPI number
Legal business name
THREE RIVERS HEALTH DISTRICT
Authorized official
DR. DANIEL LAWRENCE DDS (HEALTH DEPTS DENTIST)
(804) 758-2381
Entity
Organization

Contact information

Practice address
167 COURTHOUSE LANDING ROAD, KING & QUEEN, VA 23805-0008
(804) 758-2381
(804) 758-4828
Mailing address
167 COURTHOUSE LANDING ROAD, P O BOX 8, KING & QUEEN, VA 23086
(804) 758-2381
(804) 758-4828

Taxonomy

Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0401004548
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
106881
DORAL (VA SMILES)
VA
05
8451222
VA
Enumeration date
09/01/2006
Last updated
07/10/2008
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