| Riverside Dental, Pllc | |
|
3400 S Clark St Ste 105 Arlington VA 22202-4050 | |
| (703) 740-8978 | |
| (571) 464-6588 |
| Full Name | Riverside Dental, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3400 S Clark St Ste 105, Arlington, Virginia |
| Authorized Official Name and Position | Shutong Hartsell (OWNER) |
| Authorized Official Contact | 7037408978 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riverside Dental, Pllc 6161 Foxcroft Rd Alexandria VA 22307-1103 Ph: (828) 719-5723 | Riverside Dental, Pllc 3400 S Clark St Ste 105 Arlington VA 22202-4050 Ph: (703) 740-8978 |
| NPI Number | 1093466583 |
|---|---|
| Provider Enumeration Date | 01/16/2022 |
| Last Update Date | 01/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093466583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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