Individual
ALEXANDER MANUEL SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
719 N 25TH ST, RICHMOND, VA 23223-6539
(804) 780-0840
Mailing address
719 N 25TH ST, RICHMOND, VA 23223-6539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401411646
VA
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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