Organization
DAVID C. CIRCEO D.D.S., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C. CIRCEO D.D.S. (DENTIST)
(804) 262-9824
Entity
Organization
Contact information
Practice address
6113 LAKESIDE AVE, RICHMOND, VA 23228-5236
(804) 262-9824
(804) 264-2834
Mailing address
6113 LAKESIDE AVE, RICHMOND, VA 23228-5236
(804) 262-9824
(804) 264-2834
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401007452
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205955713
DENTAL OFFIC
VA
Enumeration date
04/14/2009
Last updated
04/14/2009
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