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Organization

ROBERT N PENTERSON DDS PC

Active
Parent organization
CENTRAL VIRGINIA DENTAL CARE
Other names
Penterson and Booth DDS
Organization subpart
Yes

Provider details

NPI number
Legal business name
CENTRAL VIRGINIA DENTAL CARE
Authorized official
DR. STEPHEN BOOTH D.D.S. (DENTIST/OWNER)
(804) 426-1070
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

Other

Enumeration date
10/21/2016
Last updated
10/21/2016
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