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General NPI Number Information
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NPI Number | 1851492540
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Entity Type | Organization
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Legal Business Name | TWO RIVERS FAMILY AND COSMETIC DENTISTRY
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 02/02/2026
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Provider Practice Location Address
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Address Line | 1118-A PROFESSIONAL DRIVE
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3330
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Country | US
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Telephone | 757-229-5570
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Fax | 757-259-0719
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Provider Business Mailing Address
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Address Line | 1118-A PROFESSIONAL DRIVE
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City | WILLIAMSBURG
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State | VA
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Zip | 23185-3330
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Country | US
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Telephone | 757-229-5570
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Fax | 757-259-0719
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Authorized Official
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Title or Position | OWNER/PARTNER
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Name | RICHARD WORDEN LACHINE III
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Credential | DDS
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Telephone | 757-229-5570
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | VA 6463
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License Number State | VA
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