NPI | 1265983506 |
---|---|
Doing Business As | PENTERSON AND BOOTH DDS |
Entity Type | Organization |
Authorized Contact | STEPHEN BOOTH Dentist/Owner 804-426-1070 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2016-10-21 |
Last Update Date | 2016-10-21 |