Organization
COMMUNITY DENTAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD COTTRELL DDS (PRESIDENT)
(540) 498-3190
Entity
Organization
Contact information
Practice address
10246 KINGS HWY, KING GEORGE, VA 22485-3429
(540) 498-3190
Mailing address
10246 KINGS HWY, KING GEORGE, VA 22485-3429
(540) 498-3190
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401008855
VA
1223G0001X
General Practice Dentistry
0401411484
VA
1223G0001X
General Practice Dentistry
0401412194
VA
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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