Individual
LUCIANO CALDEIRA ANDRADA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 828-9190
Mailing address
6004 ABINGTON PARK DR, GLEN ALLEN, VA 23059-6967
(857) 363-0105
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DL12002
MA
1223P0300X
Periodontics
0401417461
VA
Other
Enumeration date
08/21/2013
Last updated
11/10/2021
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