| Commonwealth Pediatric Dentistry, Pllc | |
|
7032 Forest Hill Ave Richmond VA 23225-1655 | |
| (804) 621-8299 | |
| Not Available |
| Full Name | Commonwealth Pediatric Dentistry, Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 7032 Forest Hill Ave, Richmond, Virginia |
| Authorized Official Name and Position | Andrew Zima (DENTIST/OWNER) |
| Authorized Official Contact | 8043396957 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Commonwealth Pediatric Dentistry, Pllc 201 A St Farmville VA 23901-1613 Ph: (804) 339-6957 | Commonwealth Pediatric Dentistry, Pllc 7032 Forest Hill Ave Richmond VA 23225-1655 Ph: (804) 621-8299 |
| NPI Number | 1356860134 |
|---|---|
| Provider Enumeration Date | 09/13/2017 |
| Last Update Date | 09/13/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356860134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 0401412165 (Virginia) | Primary |
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