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Organization
ROBERT N. PENTERSON, DDS, PC
Active
Organization
ROBERT N. PENTERSON, DDS, PC
Active
Other names
Penterson and Booth, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CLARENCE BOOTH DDS (TREASURER)
(804) 739-1600
Entity
Organization
Contact information
Practice address
5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-1600
(804) 739-9035
Mailing address
5954 HARBOUR PARK DR, MIDLOTHIAN, VA 23112-2163
(804) 739-1600
(804) 739-9035
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401411024
VA
Other
Enumeration date
05/24/2007
Last updated
07/01/2014
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