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Keeton, Gokli, Lubbe, Bridges-Poquis & Raddin,

Dentist, Pediatric Dentistry in Midlothian, VA. Organization (NPI-2).

NPI number1366460107
StatusActive
Last updated in NPPESFeb 11, 2011

Details

NPI
1366460107
Entity type
Organization (NPI-2)
Legal business name
Keeton, Gokli, Lubbe, Bridges-Poquis & Raddin,
Organization subpart
No
Enumeration date
Jul 18, 2006
Last updated
Feb 11, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0221X Dentist, Pediatric Dentistry0401004876VAYes
1223P0221X Dentist, Pediatric Dentistry0401410240VA
1223P0221X Dentist, Pediatric Dentistry0401007234VA
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics0401410225VA
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics0401004475VA

Other names

  • Pediatric Dentistry And Orthodontics Of Virginia (Doing Business As)

Practice location

13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056

Phone 804-739-0963 · Fax 804-739-0965

Mailing address

13841 Hull Street Rd
Suite 4
Midlothian, VA 23112-2056

Phone 804-739-0963 · Fax 804-739-0965

Authorized official

Carol Roper
Practice Administrator
8047390963

Is something wrong?

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Other Pediatric Dentistry providers in Midlothian, VA

All 18 Pediatric Dentistry providers in Midlothian · All 3,080 providers in Midlothian

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