Organization
RIVERSIDE DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHUTONG HARTSELL DMD (OWNER)
(703) 740-8978
Entity
Organization
Contact information
Practice address
3400 S CLARK ST STE 105, ARLINGTON, VA 22202-4050
(703) 740-8978
(571) 464-6588
Mailing address
6161 FOXCROFT RD, ALEXANDRIA, VA 22307-1103
(828) 719-5723
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/16/2022
Last updated
01/16/2022
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