Individual
KATHERINE ECCLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11701 CHESTER RD, CHESTER, VA 23831-1710
(804) 215-3030
Mailing address
209 S MULBERRY ST, RICHMOND, VA 23220-5108
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401416054
VA
1223G0001X
General Practice Dentistry
059179
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2016
Last updated
09/19/2022
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