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Darchelle Braxton Dmd Pc
Pediatric Dentist in Glen Allen, Virginia
NPI 1265889570

Darchelle Braxton Dmd Pc is a Pediatric Dentist based in Glen Allen, VA and is specialized in Pediatric Dentistry. Darchelle Braxton Dmd Pc practices in Glen Allen, VA. The NPI Number for Darchelle Braxton Dmd Pc is 1265889570 and holds a License No. 0401414243 (Virginia).

The current practice location address for Darchelle Braxton Dmd Pc is 4300 Pouncey Tract Road Suite I, Glen Allen, VA and can be reached out via phone at 804-709-8166.

Location: 4300 Pouncey Tract Road Suite I, Glen Allen, VA, 23060
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265889570
Provider Name
Darchelle Braxton Dmd Pc
Credential
Provider Entity Type
Organization
Address
4300 Pouncey Tract Road Suite I, Glen Allen, VA, 23060
Phone Number
804-709-8166
Fax Number
Provider Enumeration Date
05/17/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
03647894 05 VA
institution
Provider Business Practice Location Address Details
Address
4300 Pouncey Tract Road Suite I
City
Glen Allen
State
Virginia
Zip
23060
Phone Number
804-709-8166
Fax Number
person
Provider Business Mailing Address Details
Address
4300 Pouncey Tract Road Suite I
City
Glen Allen
State
Virginia
Zip
23060
Phone Number
804-709-8166
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
0401414243 (Virginia)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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