| NPI | 1003091752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL V MESAROS President 434-791-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401008440) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |