Individual
DR. NICOLE TOWANA BARBOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
719 N 25TH ST, RICHMOND, VA 23223-6539
(804) 780-0840
(804) 253-1998
Mailing address
719 N 25TH ST, RICHMOND, VA 23223-6539
(804) 780-0840
(804) 253-1998
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411682
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9198924
—
VA
Enumeration date
12/07/2006
Last updated
03/15/2018
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