Organization
ANTONE EXUM DDS
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. ANTONE C EXUM DDS (DENTIST/OWNER)
(804) 212-2501
Entity
Organization
Contact information
Practice address
10124 W BROAD ST, STE Q, GLEN ALLEN, VA 23060-3330
(804) 212-2501
(804) 887-6238
Mailing address
10124 W BROAD ST, STE Q, GLEN ALLEN, VA 23060-3330
(804) 212-2501
(804) 887-6238
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401006994
VA
Other
Enumeration date
10/18/2016
Last updated
10/18/2016
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