Russell A. Cleveland DDS

NPI 1699863191 - Dentist - 1223G0001X

NPI Details
NPI 1699863191
Gender Male
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1670 HUGUENOT RD
MIDLOTHIAN VA, 23113-2427, US
Phone (804) 794-4564
Fax (804) 794-9389
Business Location
1670 HUGUENOT RD
MIDLOTHIAN VA, 23113-2427, US
Phone (804) 794-4564
Fax (804) 794-9389
Toxanomy
Taxonomy Code 1223G0001X
License State Virginia
License Number 0401006305
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According to our database, Russell A. Cleveland DDS NPI is 1699863191, taxonomy code is 1223G0001X and license number is 0401006305, license state is located at Virginia. Russell A. Cleveland DDS physically located at 1670 Huguenot Rd, Midlothian VA, 23113-2427. NPI Number Russell A. Cleveland DDS has the Individual type.

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1699863191 NPI number is provided on an as is basis without warranty of any kind. 1699863191 is maintained by the National Plan & Provider Enumeration System. The contents of Russell A. Cleveland DDS are for informational purposes only.