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Individual

DR. SUSAN E ST GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
23 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 861-5237
(804) 861-1601
Mailing address
23 GOODRICH AVE, PETERSBURG, VA 23805-2119
(804) 861-5237
(804) 861-1601

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412498
VA

Other

Enumeration date
08/10/2010
Last updated
03/15/2024
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