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1093466583
RIVERSIDE DENTAL, PLLC
ARLINGTON, VA
NPI
1093466583
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Entity Type
Organization
Authorized Contact
SHUTONG HARTSELL
Owner
703-740-8978
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2022-01-16
Last Update Date
2022-01-16
Business Address
RIVERSIDE DENTAL, PLLC
3400 S CLARK ST STE 105
ARLINGTON, VA 22202-4050
Phone number: 703-740-8978
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Mailing Address
RIVERSIDE DENTAL, PLLC
6161 FOXCROFT RD
ALEXANDRIA, VA 22307-1103
Phone number: 828-719-5723
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