Organization
RICHMOND CHILDREN'S GENERAL ANESTHESIA DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER ANTLE (MANAGER)
(435) 374-8638
Entity
Organization
Contact information
Practice address
5899 BREMO RD STE 204, RICHMOND, VA 23226-1935
(804) 806-4381
Mailing address
5899 BREMO RD STE 204, RICHMOND, VA 23226-1935
(804) 806-4381
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
07/27/2026
Last updated
08/07/2026
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