Individual
DR. GEORGE RICHARD DEEB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.D.
Contact information
Practice address
520 N 12TH ST, RICHMOND, VA 23298
(804) 628-6637
(804) 827-1040
Mailing address
520 N 12TH ST, RICHMOND, VA 23298-5064
(804) 628-6637
(804) 827-1040
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401413966
VA
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
0401413966
VA
Other
Enumeration date
09/20/2006
Last updated
09/12/2019
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