Individual
MARTHA ALLEN DAWSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
4025 MECHANICSVILLE TURNPIKE, RICHMOND, VA 23223
(804) 321-6800
(804) 321-8800
Mailing address
4807 POCOHANTAS AVENUE, RICHMOND, VA 23226
(804) 353-3887
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0401006437
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06437
DELTA DENTAL
VA
01
—
461804
ANTHEM
VA
Enumeration date
08/31/2006
Last updated
07/08/2007
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