Individual
LAURENCE SCOTT SILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5700 OLD RICHMOND AVE, SUITE A-3, RICHMOND, VA 23226-1828
(804) 282-8712
Mailing address
12125 GLEN GARY CIR, RICHMOND, VA 23233-1669
(804) 360-4830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005990
VA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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