Organization
MICHAEL PFAB & ANA RAIKA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL D. PFAB DDS (OWNER)
(804) 639-9622
Entity
Organization
Contact information
Practice address
14912 HULL STREET RD, CHESTERFIELD, VA 23832-2535
(804) 639-9622
(804) 639-9633
Mailing address
14912 HULL STREET RD, CHESTERFIELD, VA 23832-2535
(804) 639-9622
(804) 639-9633
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007513
VA
Other
Enumeration date
07/15/2011
Last updated
07/15/2011
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