| The Petersburg Smile Center, P.c. | |
|
34 Medical Park Blvd Suite E Petersburg VA 23805-9283 | |
| (804) 732-8800 | |
| (804) 732-8801 |
| Full Name | The Petersburg Smile Center, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 34 Medical Park Blvd, Petersburg, Virginia |
| Authorized Official Name and Position | Nicole Towana Barbour (OWNER) |
| Authorized Official Contact | 8047328800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Petersburg Smile Center, P.c. 34 Medical Park Blvd Suite E Petersburg VA 23805-9283 Ph: (804) 732-8800 | The Petersburg Smile Center, P.c. 34 Medical Park Blvd Suite E Petersburg VA 23805-9283 Ph: (804) 732-8800 |
| NPI Number | 1417347154 |
|---|---|
| Provider Enumeration Date | 02/03/2015 |
| Last Update Date | 02/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417347154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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