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Organization
PETERSBURG COMPLETE DENTAL CARE PLLC
Active
Organization
PETERSBURG COMPLETE DENTAL CARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN E ST. GEORGE D.D.S. (OWNER)
(804) 861-5237
Entity
Organization
Contact information
Practice address
23 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 861-5237
Mailing address
23 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 861-5237
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412498
VA
Other
Enumeration date
03/06/2013
Last updated
05/07/2013
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