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Organization
PETERSBURG FAMILY DENTAL PLLC
Active
Organization
PETERSBURG FAMILY DENTAL PLLC
Active
Other names
Terry Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM ERVIL DDS (DENTIST)
(804) 615-9682
Entity
Organization
Contact information
Practice address
21312 CHESTERFIELD AVE, SOUTH CHESTERFIELD, VA 23803-2406
(804) 615-9682
Mailing address
21312 CHESTERFIELD AVE, SOUTH CHESTERFIELD, VA 23803-2406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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