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Individual

JUSTIN GROODY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
900 N 24TH ST, RICHMOND, VA 23223-6412
(704) 575-2007
Mailing address
900 N 24TH ST, RICHMOND, VA 23223-6412
(704) 575-2007

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0442000407
VA

Other

Enumeration date
09/04/2020
Last updated
09/04/2020
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