Individual
DAVID COLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
520 N 12TH ST # 222, RICHMOND, VA 23298-5064
(804) 828-0843
Mailing address
520 N 12TH ST # 222, RICHMOND, VA 23298-5064
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0442000280
VA
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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