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1114308269
LOUIS FORMICA
RICHMOND, VA
NPI
1114308269
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: VA 0401414852)
Enumeration Date
2015-06-15
Last Update Date
2019-01-28
Business Address
Dr. LOUIS FORMICA D.D.S.
520 N 12TH ST
RICHMOND, VA 23298-5064
Phone number: 804-828-3368
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Mailing Address
Dr. LOUIS FORMICA D.D.S.
520 N 12TH ST
RICHMOND, VA 23298-5064
Phone number: 804-828-3368
Copy
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