| Organization Name: | RICHMOND COUNTY DENTAL CLINIC |
| NPI Number: | 1740382878 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DANIEL LAWRENCE (HEALTH DEPT DENTIST) |
| Mailing Address: | 5591 Richmond Road Warsaw |
| State: | VA US |
| Postal Code: | 22572 |
| Phone Number: | 8047582381 |
| Fax Number: | 8047584828 |
| NPI Enumeration Date: | 09/01/2006 |
| NPI Last Update Date: | 07/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 0401004548 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VA |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |