Organization
JIORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN C. JI D.M.D. (DOCTOR)
(804) 520-6050
Entity
Organization
Contact information
Practice address
798 SOUTHPARK BLVD STE 12, COLONIAL HEIGHTS, VA 23834-3600
(804) 520-6050
Mailing address
798 SOUTHPARK BLVD STE 12, COLONIAL HEIGHTS, VA 23834-3600
(804) 520-6050
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401410425
VA
Other
Enumeration date
06/13/2013
Last updated
06/13/2013
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