| None | |
|
8010 Ridge Rd Suite #1 Richmond VA 23229-7288 | |
| (804) 282-2323 | |
| (804) 282-0349 |
| Full Name | None |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8010 Ridge Rd, Richmond, Virginia |
| Authorized Official Name and Position | Robert O. Kendig (OWNER/PRES) |
| Authorized Official Contact | 8042822323 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| None 8010 Ridge Rd Suite #1 Richmond VA 23229-7288 Ph: (804) 282-2323 | None 8010 Ridge Rd Suite #1 Richmond VA 23229-7288 Ph: (804) 282-2323 |
| NPI Number | 1902077225 |
|---|---|
| Provider Enumeration Date | 03/14/2008 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902077225 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401005243 (Virginia) | Primary |
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