| Commonwealth Dental Anesthesia Associates Pc | |
|
1101 Haxall Pt Unit 1004 Richmond VA 23219-3941 | |
| (434) 242-5446 | |
| Not Available |
| Full Name | Commonwealth Dental Anesthesia Associates Pc |
|---|---|
| Speciality | Dentist - Dentist Anesthesiologist |
| Location | 1101 Haxall Pt, Richmond, Virginia |
| Authorized Official Name and Position | Heather Ballentine (DENTIST ANESTHESIOLOGIST) |
| Authorized Official Contact | 6467893860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Dental Anesthesia Associates Pc 1101 Haxall Pt Unit 1004 Richmond VA 23219-3941 Ph: () - | Commonwealth Dental Anesthesia Associates Pc 1101 Haxall Pt Unit 1004 Richmond VA 23219-3941 Ph: (434) 242-5446 |
| NPI Number | 1437534708 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 07/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437534708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223D0004X | Dentist - Dentist Anesthesiologist | (Virginia) | Primary |
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