Organization
COMMONWEALTH PEDIATRIC DENTISTRY, PLLC
Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE PLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE PLC
Authorized official
LAURI HENDERSON (ADMINISTRATIVE ASSISTANT)
(804) 363-4283
Entity
Organization
Contact information
Practice address
6661 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112-2082
(804) 363-4283
Mailing address
6661 LAKE HARBOUR DR, MIDLOTHIAN, VA 23112-2082
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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