KEETON GOKLI LUBBE BRIDGES-POQUIS & RADDIN NPI 1366460107

NPI Information

KEETON, GOKLI, LUBBE, BRIDGES-POQUIS & RADDIN, is a pediatric dentistry dentist in Midlothian, VA. The provider is 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. KEETON, GOKLI, LUBBE, BRIDGES-POQUIS & RADDIN, NPI is 1366460107. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pediatric Dentistry And Orthodontics Of Virginia.

The provider's business location address is:

13841 HULL STREET RD
SUITE 4
MIDLOTHIAN, VA
ZIP 23112-056
Phone: (804) 739-0963
Fax: (804) 739-0965

The provider's authorized official is Carol Roper .
The authorized official title is Practice Administrator and has the following contact phone number (804) 739-0963.

The enumeration date for this NPI number is 7/18/2006 and was last updated on 2/11/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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