Individual
DR. MATTHEW S. KITTRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2600 GROVE AVE, RICHMOND, VA 23220-4366
(804) 359-6471
(804) 354-9583
Mailing address
2600 GROVE AVE, RICHMOND, VA 23220-4366
(804) 359-6471
(804) 354-9583
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401416118
VA
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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