Organization
NEW KENT DENTAL CARE
Active
Other names
New Kent Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL WILLIAM MCCRADY PHD, DDS (OWNER)
(804) 405-6995
Entity
Organization
Contact information
Practice address
2690 DISPATCH RD, QUINTON, VA 23141-1726
(804) 405-6995
Mailing address
2690 DISPATCH RD, QUINTON, VA 23141-1726
(804) 405-6995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0401008640
VA
Other
Enumeration date
11/07/2016
Last updated
11/07/2016
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