Individual
NEETHU MOHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3904 HULL STREET RD STE A, RICHMOND, VA 23224-1714
(469) 831-5732
Mailing address
3401 GROVE GATE CT APT 1617, HENRICO, VA 23233-0227
(469) 831-5732
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401417148
VA
Other
Enumeration date
08/05/2020
Last updated
08/19/2020
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