Southside Family and Cosmetic Dentistry
NPI #1295008985 in Colonial Heights, Virginia
Provider Information
- NPI Number
- 1295008985
- Entity Type
- Organization
- Organization Name
- Southside Family and Cosmetic Dentistry
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Feb 12, 2012
- Last Updated
- Feb 12, 2012
Practice Location
- Address
- 3505 BOULEVARD
- City
- Colonial Heights
- State
- Virginia
- ZIP Code
- 23834-1319
- Phone
- (804) 520-5009
Authorized Official
- Name
- DR. TONYA ADRENA PARRIS-WILKINS, D.D.S.
- Title
- PRESIDENT
- Phone
- (804) 520-5009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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