| NPI | 1891905923 |
|---|---|
| Doing Business As | PENTERSON AND BOOTH, DDS |
| Entity Type | Organization |
| Authorized Contact | STEPHEN CLARENCE BOOTH Treasurer 804-739-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401411024) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2014-07-01 |