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1124392451
FAMILY DENTAL OF VIRGINIA, LLC
RICHMOND, VA
NPI
1124392451
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Entity Type
Organization
Authorized Contact
TROY KLUCK
Compliance Director
920-838-1649
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2012-03-05
Last Update Date
2012-03-05
Business Address
FAMILY DENTAL OF VIRGINIA, LLC
3904 HULL STREET RD SUITE A
RICHMOND, VA 23224-1714
Phone number: 804-233-0007
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Mailing Address
FAMILY DENTAL OF VIRGINIA, LLC
3904 HULL STREET RD SUITE A
RICHMOND, VA 23224-1714
Phone number: 804-233-0007
Copy
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