# PETERSBURG COMPLETE DENTAL CARE PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770824435
- **Authorized official:** DR. SUSAN E ST. GEORGE D.D.S. (OWNER)
- **Authorized official phone:** (804) 861-5237

## Contact information

- **Practice address:** 23 GOODRICH AVE, PETERSBURG, VA 23805-2119
- **Practice address phone:** (804) 861-5237
- **Mailing address:** 23 GOODRICH AVE, PETERSBURG, VA 23805-2119
- **Mailing address phone:** (804) 861-5237

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 0401412498 | VA | Yes |

## Other

- **Enumeration date:** 03/06/2013
- **Last updated:** 05/07/2013