| NPI | 1003302472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES DONALD PARRIS Director, Clinical Business Service 804-828-0789 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2018-07-09 |
| Last Update Date | 2018-11-06 |