Basic Information
| Provider Information | |||||||||
| NPI: | 1003000621 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DULLANO | ||||||||
| FirstName: | DENNIS | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | D.C. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1215 HERMITAGE RD | ||||||||
| Address2: | #2418 | ||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232201338 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9042347704 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 800 BUFFALO ST | ||||||||
| Address2: | SUITE B | ||||||||
| City: | FARMVILLE | ||||||||
| State: | VA | ||||||||
| PostalCode: | 239011112 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4343155868 | ||||||||
| FaxNumber: | 4347369895 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/28/2007 | ||||||||
| LastUpdateDate: | 02/16/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 111N00000X | 0104556571 | VA | Y | Chiropractic Providers | Chiropractor |
No ID Information.