| Dominion Endodontics | |
|
6037 Harbour Park Dr Midlothian VA 23112-2160 | |
| (804) 744-3636 | |
| (804) 744-6365 |
| Full Name | Dominion Endodontics |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 6037 Harbour Park Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Bruce Wayne Overton (PRESIDENT/OWNER) |
| Authorized Official Contact | 8047443636 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dominion Endodontics 6037 Harbour Park Dr Midlothian VA 23112-2160 Ph: (804) 744-3636 | Dominion Endodontics 6037 Harbour Park Dr Midlothian VA 23112-2160 Ph: (804) 744-3636 |
| NPI Number | 1609006865 |
|---|---|
| Provider Enumeration Date | 07/22/2009 |
| Last Update Date | 07/22/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609006865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | () | Primary |
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