Individual
ALTHEA ROACHE MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1060 RIVER RD, NORTH PRINCE GEORGE, VA 23860-1666
(804) 504-7200
(804) 504-7225
Mailing address
1060 RIVER RD, NORTH PRINCE GEORGE, VA 23860-1666
(804) 504-7200
(804) 504-7225
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
043417-1
NY
Other
Enumeration date
11/03/2020
Last updated
11/03/2020
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