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Organization
SOUTHSIDE DENTAL CARES, PC
Active
Organization
SOUTHSIDE DENTAL CARES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BARBARA HEPNER (MANAGER)
(804) 290-8001
Entity
Organization
Contact information
Practice address
2731 S CRATER RD, PETERSBURG, VA 23805-2403
(804) 732-8557
Mailing address
5231 HICKORY PARK DR STE E, GLEN ALLEN, VA 23059-2619
(804) 290-8001
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
01/19/2022
Last updated
01/19/2022
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