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Mridula Manoj

Dentist, General Practice in Midlothian, VA. Individual provider (NPI-1).

NPI number1043950488
StatusActive
Last updated in NPPESSep 7, 2023

Details

NPI
1043950488
Entity type
Individual (NPI-1)
Name
Mridula Manoj
Sex
Female
Sole proprietor
No
Enumeration date
Apr 1, 2022
Certification date
Sep 7, 2023
Last updated
Sep 7, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice0401418552VAYes

Practice location

1612 Huguenot Rd
Midlothian, VA 23113-2427

Phone 804-794-9789

Mailing address

3268 Brook Rd
Richmond, VA 23227-4835

Phone 336-803-5193

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