| NPI | 1003143074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS J. KORPICS Pres/Owner 804-798-2776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401007653) |
| Enumeration Date | 2009-11-11 |
| Last Update Date | 2009-11-11 |