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Organization
RIVERSIDE FAMILY DENTISTRY
Active
Organization
RIVERSIDE FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RITCHELLE SAN JUAN (OFFICE MANAGER)
(757) 497-2988
Entity
Organization
Contact information
Practice address
367 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-2822
(757) 497-2988
(757) 497-5387
Mailing address
367 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-2822
(757) 497-2988
(757) 497-5387
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NULL
122300000X
Dentist
Primary
—
—
Other
Enumeration date
09/14/2026
Last updated
09/14/2026
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