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Organization
NORTHSIDE DENTAL COMPANY, PLLC
Active
Organization
NORTHSIDE DENTAL COMPANY, PLLC
Active
Other names
Northside Dental Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATELIN HEIM (OFFICE MANAGER)
(804) 767-3410
Entity
Organization
Contact information
Practice address
3404 HERMITAGE RD, RICHMOND, VA 23227-4307
(804) 477-4210
Mailing address
3404 HERMITAGE RD, RICHMOND, VA 23227-4307
(804) 767-3410
(804) 934-9291
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/22/2020
Last updated
07/21/2020
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