| Penterson And Booth, Dds | |
|
5954 Harbour Park Dr Midlothian VA 23112-2163 | |
| (804) 739-1600 | |
| (804) 739-9035 |
| Full Name | Penterson And Booth, Dds |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5954 Harbour Park Dr, Midlothian, Virginia |
| Authorized Official Name and Position | Stephen Clarence Booth (TREASURER) |
| Authorized Official Contact | 8047391600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Penterson And Booth, Dds 5954 Harbour Park Dr Midlothian VA 23112-2163 Ph: (804) 739-1600 | Penterson And Booth, Dds 5954 Harbour Park Dr Midlothian VA 23112-2163 Ph: (804) 739-1600 |
| NPI Number | 1891905923 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 07/01/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891905923 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 0401411024 (Virginia) | Primary |
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