Organization
BRUCE W. OVERTON DDS PC
Active
Other names
Dominion Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE WAYNE OVERTON DDS (PRESIDENT/OWNER)
(804) 744-3636
Entity
Organization
Contact information
Practice address
6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 744-3636
(804) 744-6365
Mailing address
6037 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2160
(804) 744-3636
(804) 744-6365
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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