Organization
LEONARD I. NUNNALLY DDS PC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Authorized official
DR. LEONARD NUNNALLY III (DENTIST)
(804) 747-0908
Entity
Organization
Contact information
Practice address
11531 NUCKOLS RD STE B, GLEN ALLEN, VA 23059-5673
(804) 747-0908
(804) 747-1057
Mailing address
11531 NUCKOLS RD STE B, GLEN ALLEN, VA 23059-5673
(804) 747-0908
(804) 747-1057
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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