Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 0401008229 | VA |
NPI | 1225081078 |
---|---|
Provider Name | Dr. William Betzhold |
First Address | Richmond, VA 23298-5045 |
Second Address | Richmond, VA 23298-5045 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/05/2006 |
Last Update Date | 08/07/2007 |