Individual
DR. HENDRICK BASTIAAN TAFO-TABUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11627 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-2620
(804) 897-8550
Mailing address
11627 MIDLOTHIAN TPKE, MIDLOTHIAN, VA 23113-2620
(804) 897-8550
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401413401
VA
Other
Enumeration date
06/22/2009
Last updated
04/04/2017
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