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1558812719
SOUTH RIVER DENTISTRY
MIDLOTHIAN, VA
NPI
1558812719
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Entity Type
Organization
Authorized Contact
JEFFERSON THAIR BLACKBURN
Owner
804-378-7888
Organization Subpart ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2016-10-21
Last Update Date
2016-10-21
Business Address
SOUTH RIVER DENTISTRY
2301 ROBIOUS STATION CIR
MIDLOTHIAN, VA 23113-2124
Phone number: 804-378-7888
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Mailing Address
SOUTH RIVER DENTISTRY
2301 ROBIOUS STATION CIR
MIDLOTHIAN, VA 23113-2124
Phone number: 804-378-7888
Copy
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