Individual
DR. COLE ANTHONY STAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 828-9095
Mailing address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 828-9095
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0442000305
VA
Other
Enumeration date
07/25/2017
Last updated
07/25/2017
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