Individual
DR. CAROL ANN CAUDILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
521 N 11TH ST, RICHMOND, VA 23298-5045
(804) 828-2362
Mailing address
521 N 11TH ST # 980566, RICHMOND, VA 23298-5045
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
0401413622
VA
1223P0221X
Pediatric Dentistry
Primary
0401413622
VA
Other
Enumeration date
07/26/2012
Last updated
10/01/2019
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