Individual
DR. THOMAS WALDROP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
521 N 11TH ST, ROOM 315, RICHMOND, VA 23298-5045
(804) 828-3368
Mailing address
3419 ROBIOUS FOREST WAY, MIDLOTHIAN, VA 23113-3720
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401004508
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8100071
—
VA
Enumeration date
10/20/2005
Last updated
07/08/2007
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