# RIVERSIDE FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1811808389
- **Authorized official:** RITCHELLE SAN JUAN (OFFICE MANAGER)
- **Authorized official phone:** (757) 497-2988

## Contact information

- **Practice address:** 367 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-2822
- **Practice address phone:** (757) 497-2988
- **Practice address fax:** (757) 497-5387
- **Mailing address:** 367 INDEPENDENCE BLVD, VIRGINIA BEACH, VA 23462-2822
- **Mailing address phone:** (757) 497-2988
- **Mailing address fax:** (757) 497-5387

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | NULL | Yes |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 09/14/2026
- **Last updated:** 09/14/2026