| NPI | 1003368119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY K KONTOPANOS Dentist/Owner 804-275-7477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007132) |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |