| Cardinal Pediatric Dentistry Pllc | |
|
11551 Nuckols Rd Ste H Glen Allen VA 23059-5565 | |
| (804) 495-8750 | |
| (804) 495-8751 |
| Full Name | Cardinal Pediatric Dentistry Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 11551 Nuckols Rd Ste H, Glen Allen, Virginia |
| Authorized Official Name and Position | Helen Bono (OWNER) |
| Authorized Official Contact | 8044958750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Pediatric Dentistry Pllc 11105 Bothwell St Henrico VA 23233-2262 Ph: (804) 837-7585 | Cardinal Pediatric Dentistry Pllc 11551 Nuckols Rd Ste H Glen Allen VA 23059-5565 Ph: (804) 495-8750 |
| NPI Number | 1154948289 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 07/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154948289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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