| Commonwealth Orthodontics Midlothian | |
|
6657 Lake Harbour Dr Midlothian VA 23112-2082 | |
| (804) 739-6600 | |
| Not Available |
| Full Name | Commonwealth Orthodontics Midlothian |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 6657 Lake Harbour Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Michael Riccobene (OWNEER) |
| Authorized Official Contact | 9108536172 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Orthodontics Midlothian 3434 Kildaire Farm Rd Ste 350 Cary NC 27518-2205 Ph: (330) 687-5944 | Commonwealth Orthodontics Midlothian 6657 Lake Harbour Dr Midlothian VA 23112-2082 Ph: (804) 739-6600 |
| NPI Number | 1750011243 |
|---|---|
| Provider Enumeration Date | 06/16/2022 |
| Last Update Date | 08/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750011243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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