| Southside Dental Associates Pc | |
|
3277 S Crater Rd Petersburg VA 23805-9285 | |
| (804) 732-5776 | |
| (804) 732-5782 |
| Full Name | Southside Dental Associates Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3277 S Crater Rd, Petersburg, Virginia |
| Authorized Official Name and Position | William B Munn (OWNER) |
| Authorized Official Contact | 8047325776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Dental Associates Pc 3277 S Crater Rd Petersburg VA 23805-9285 Ph: (804) 732-5776 | Southside Dental Associates Pc 3277 S Crater Rd Petersburg VA 23805-9285 Ph: (804) 732-5776 |
| NPI Number | 1477792414 |
|---|---|
| Provider Enumeration Date | 02/16/2009 |
| Last Update Date | 02/16/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477792414 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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