| Ailin Shan,dmd,pllc | |
|
5412 Glenside Dr Suite C Richmond VA 23228-3995 | |
| (804) 756-6658 | |
| (804) 756-6662 |
| Full Name | Ailin Shan,dmd,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5412 Glenside Dr, Richmond, Virginia |
| Authorized Official Name and Position | Ailin Shan (PRESIDENT) |
| Authorized Official Contact | 8047566658 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ailin Shan,dmd,pllc 5412 Glenside Dr Suite C Richmond VA 23228-3995 Ph: (804) 756-6658 | Ailin Shan,dmd,pllc 5412 Glenside Dr Suite C Richmond VA 23228-3995 Ph: (804) 756-6658 |
| NPI Number | 1962672535 |
|---|---|
| Provider Enumeration Date | 03/10/2008 |
| Last Update Date | 03/10/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962672535 | NPI | - | NPPES |
| 9180406 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401410938 (Virginia) | Primary |
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