Organization
RICHMOND COUNTY DENTAL CLINIC
Active
Parent organization
THREE RIVERS HEALTH DISTRICT
Other names
THREE RIVERS HEALTH DISTRICT
Organization subpart
Yes
Provider details
NPI number
Legal business name
THREE RIVERS HEALTH DISTRICT
Authorized official
DR. DANIEL LAWRENCE DDS (HEALTH DEPT DENTIST)
(804) 758-2381
Entity
Organization
Contact information
Practice address
5591 RICHMOND ROAD, WARSAW, VA 22572
(804) 758-2381
(804) 758-4828
Mailing address
5591 RICHMOND ROAD, P O BOX 700, WARSAW, VA 22572
(804) 758-2381
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
0401004548
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106883
DORAL (VA SMILES)
VA
05
—
8454510
—
VA
Enumeration date
09/01/2006
Last updated
07/09/2008
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