Organization
WM GRAHAM GARDNER DDS PC
Active
Other names
Richard A Lettew DDS Ltd
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM GRAHAM GARDNER DDS (OWNER)
(804) 282-6436
Entity
Organization
Contact information
Practice address
1206 WILLOW LAWN DRIVE, RICHMOND, VA 23226-1409
(804) 282-6436
(804) 282-8297
Mailing address
1206 WILLOW LAWN DRIVE, RICHMOND, VA 23226-1409
(804) 282-6436
(804) 282-8297
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401008926
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9178639
—
VA
Enumeration date
08/09/2006
Last updated
08/22/2020
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