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Individual

RICHARD FLEMING ROADCAP

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
3501 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1319
(804) 520-4770
(804) 520-9412
Mailing address
3501 BOULEVARD, COLONIAL HEIGHTS, VA 23834-1319
(804) 520-4770
(804) 520-9412

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005137
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0401005137
DENTAL LICENSE
VA
Enumeration date
06/26/2005
Last updated
07/08/2007
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