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Caleb Odum Widner, DDS
Student in an Organized Health Care Education/Training Program in Richmond, Virginia
NPI 1528753688

Caleb Odum Widner is a Student in an Organized Health Care Education/Training Program based in Henrico, VA. Caleb Odum Widner practices in Richmond, VA and has the professional credentials of DDS. The NPI Number for Caleb Odum Widner is 1528753688 and holds a License No. (Virginia).

The current practice location address for Caleb Odum Widner is 6900 Forest Ave Ste 110, Richmond, VA and can be reached out via phone at 804-893-8715.

Location: 6900 Forest Ave Ste 110, Richmond, VA, 23075-1902
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1528753688
Provider Name
Caleb Odum Widner
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
6900 Forest Ave Ste 110, Richmond, VA, 23075-1902
Phone Number
804-893-8715
Fax Number
Provider Enumeration Date
04/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
6900 Forest Ave Ste 110
City
Richmond
State
Virginia
Zip
23230-1730
Phone Number
804-893-8715
Fax Number
person
Provider Business Mailing Address Details
Address
6900 Forest Ave Ste 110
City
Richmond
State
Virginia
Zip
23230-1730
Phone Number
804-893-8715
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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