Individual
DR. DAVID LEWIS DURHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
11540 MIDLOTHIAN TPKE, NORTH CHESTERFIELD, VA 23235-4747
(804) 594-6916
Mailing address
16000 ALSDELL RD, MIDLOTHIAN, VA 23112-5524
(540) 314-1113
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401412848
VA
122300000X
Dentist
DS0000009596
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/17/2010
Last updated
04/28/2017
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