Riverside Dental, Pllc

NPI #1093466583 in Arlington, Virginia

Provider Information

NPI Number: 1093466583
Entity Type: Organization
Organization Name: Riverside Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Jan 16, 2022
Last Updated: Jan 16, 2022

Practice Location

Address: 3400 S CLARK ST STE 105
City: Arlington
State: Virginia
ZIP Code: 22202-4050
Phone: (703) 740-8978

Authorized Official

Name: SHUTONG HARTSELL, DMD
Title: OWNER
Phone: (703) 740-8978

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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