Organization
PETERSBURG FAMILY DENTAL PLLC
Active
Other names
Terry Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIM ERVIL DDS (DENTIST)
(804) 615-9682
Entity
Organization
Contact information
Practice address
21312 CHESTERFIELD AVE, SOUTH CHESTERFIELD, VA 23803-2406
(804) 615-9682
Mailing address
21312 CHESTERFIELD AVE, SOUTH CHESTERFIELD, VA 23803-2406
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/01/2023
Last updated
11/01/2023
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