| Glen Allen Dentistry | |
|
2314 E Parham Rd Richmond VA 23228-3118 | |
| (804) 261-1970 | |
| Not Available |
| Full Name | Glen Allen Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2314 E Parham Rd, Richmond, Virginia |
| Authorized Official Name and Position | Rupal A Shah (OWNER) |
| Authorized Official Contact | 8042611970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Allen Dentistry 2314 E Parham Rd Richmond VA 23228-3118 Ph: (804) 261-1970 | Glen Allen Dentistry 2314 E Parham Rd Richmond VA 23228-3118 Ph: (804) 261-1970 |
| NPI Number | 1639483159 |
|---|---|
| Provider Enumeration Date | 07/27/2010 |
| Last Update Date | 04/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639483159 | NPI | - | NPPES |
| 1427239508 | Other | VA | INDIVIDUAL NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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