| Short Pump Orthodontics, Pc | |
|
3438 Lauderdale Dr Richmond VA 23233-7528 | |
| (757) 621-7698 | |
| Not Available |
| Full Name | Short Pump Orthodontics, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3438 Lauderdale Dr, Richmond, Virginia |
| Authorized Official Name and Position | Erika Andriana Sachno (PRESIDENT) |
| Authorized Official Contact | 7576217698 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Short Pump Orthodontics, Pc 7314 Three Chopt Rd Richmond VA 23226-3717 Ph: (757) 621-7698 | Short Pump Orthodontics, Pc 3438 Lauderdale Dr Richmond VA 23233-7528 Ph: (757) 621-7698 |
| NPI Number | 1598014284 |
|---|---|
| Provider Enumeration Date | 09/10/2012 |
| Last Update Date | 09/10/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598014284 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 0401410632 (Virginia) | Primary |
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