Organization
NORTHSIDE DENTAL COMPANY, PLLC
Active
Other names
Northside Dental Co.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATELIN HEIM (OFFICE MANAGER)
(804) 767-3410
Entity
Organization
Contact information
Practice address
3404 HERMITAGE RD, RICHMOND, VA 23227-4307
(804) 477-4210
Mailing address
3404 HERMITAGE RD, RICHMOND, VA 23227-4307
(804) 767-3410
(804) 934-9291
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
07/21/2020
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