| Old Dominion Family Dental | |
|
3290 Church Rd Henrico VA 23233-1812 | |
| (804) 270-3080 | |
| (804) 967-0144 |
| Full Name | Old Dominion Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3290 Church Rd, Henrico, Virginia |
| Authorized Official Name and Position | John A Freeman (DENTIST/OWNER) |
| Authorized Official Contact | 8042703080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Old Dominion Family Dental 3290 Church Rd Henrico VA 23233-1812 Ph: (804) 270-3080 | Old Dominion Family Dental 3290 Church Rd Henrico VA 23233-1812 Ph: (804) 270-3080 |
| NPI Number | 1386241792 |
|---|---|
| Provider Enumeration Date | 10/08/2020 |
| Last Update Date | 10/08/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386241792 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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