NPI | 1003283342 |
---|---|
Entity Type | Organization |
Authorized Contact | TORE DAVID STEINBERG President 434-974-9294 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008106) |
Enumeration Date | 2015-08-21 |
Last Update Date | 2015-08-21 |