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Organization

BRUSH UP DENTAL PC

Active
Parent organization
BRUSH UP DENTAL PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BRUSH UP DENTAL PC
Authorized official
DR. JASON TODD LIPSCOMB DDS (DENTIST/OWNER)
(804) 673-5280
Entity
Organization

Contact information

Practice address
7300 COSBY VILLAGE RD, CHESTERFIELD, VA 23832-1939
(804) 821-0070
Mailing address
7000 FOREST AVE STE 800, RICHMOND, VA 23230-1737
(804) 673-5280

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/07/2019
Last updated
08/07/2019
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