Organization
DENTISTS ON GROVE AVENUE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE ESTRADA (MANAGER)
(703) 606-1305
Entity
Organization
Contact information
Practice address
3603 GROVE AVE, RICHMOND, VA 23221-2201
(804) 912-1812
Mailing address
3603 GROVE AVE, RICHMOND, VA 23221-2201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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