| Richard S Vacca Dds Ltd | |
|
5921 Harbour Ln Suite 400 Midlothian VA 23112-2158 | |
| (804) 739-9191 | |
| (804) 739-7764 |
| Full Name | Richard S Vacca Dds Ltd |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5921 Harbour Ln, Midlothian, Virginia |
| Authorized Official Name and Position | Richard Steven Vacca (DENTIST/OWNER) |
| Authorized Official Contact | 8047399191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard S Vacca Dds Ltd 5921 Harbour Ln Suite 400 Midlothian VA 23112-2158 Ph: (804) 739-9191 | Richard S Vacca Dds Ltd 5921 Harbour Ln Suite 400 Midlothian VA 23112-2158 Ph: (804) 739-9191 |
| NPI Number | 1174074256 |
|---|---|
| Provider Enumeration Date | 10/24/2016 |
| Last Update Date | 10/24/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174074256 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 401007459 (Virginia) | Primary |
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