Petersburg Family Dental Pllc
NPI #1558134650 in South Chesterfield, Virginia
Provider Information
- NPI Number
- 1558134650
- Entity Type
- Organization
- Organization Name
- Petersburg Family Dental Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- Nov 1, 2023
- Last Updated
- Nov 1, 2023
Practice Location
- Address
- 21312 CHESTERFIELD AVE
- State
- Virginia
- ZIP Code
- 23803-2406
- Phone
- (804) 615-9682
Authorized Official
- Name
- DR. JIM ERVIL, DDS
- Title
- DENTIST
- Phone
- (804) 615-9682
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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