Organization
BON SECOURS VIRGINIA MEDICAL GROUP I, LLC
Active
Other names
Bon Secours Pediatric Dental Associates
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BUTLER (DIRECTOR CORPORATE RESPONSIBILITY)
(804) 281-0271
Entity
Organization
Contact information
Practice address
6900 FOREST AVE, SUITE 110, RICHMOND, VA 23230-1729
(804) 893-8715
(804) 285-1292
Mailing address
6900 FOREST AVE, SUITE 110, RICHMOND, VA 23230-1729
(804) 893-8715
(804) 285-1292
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
10/10/2013
Last updated
10/10/2013
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