Organization · Type 2 NPI
Virginia Commonwealth University
Dental Clinic/Center · Richmond, VA
NPI number
1639344641
Active
Practice location
520 N 12th Street, Lyons Bldg Room 414
Richmond, VA 23298-0566
Fax (804) 828-3159
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | 0401008264 (VA) |
Dental Clinic/Center: Definition to come...
Another provider at this address
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About NPI 1639344641
Virginia Commonwealth University's National Provider Identifier is 1639344641, issued on Apr 30, 2008. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Richmond, VA. The record was last updated on Apr 30, 2008.