Organization
RIVER RUN DENTAL OF LIBBIE MILL, PLLC
Active
Other names
River Run Dental
Organization subpart
No
Provider details
NPI number
Authorized official
CHAD HENDRICKS (CREDENTIALING)
(612) 859-0444
Entity
Organization
Contact information
Practice address
5001 LIBBIE MILL EAST BLVD STE 125, RICHMOND, VA 23230-2152
(804) 390-7133
Mailing address
5001 LIBBIE MILL EAST BLVD STE 125, RICHMOND, VA 23230-2152
(804) 390-7133
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
1223P0300X
Periodontics
—
—
Other
Enumeration date
11/04/2022
Last updated
11/04/2022
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