Organization
ROBERT N. PENTERSON, DDS, PC
Active
Other names
Penterson and Booth, DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN CLARENCE BOOTH DDS (TREASURER)
(804) 739-1600
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
0401411024
VA
Other
Enumeration date
05/24/2007
Last updated
07/01/2014
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