| 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 |