| NPI | 1003652207 |
|---|---|
| Doing Business As | ORAL WELLNESS CENTER OF CHARLOTTESVILLE |
| Entity Type | Organization |
| Authorized Contact | MARK GREGORY SMITH President 703-965-4188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |