| NPI | 1003942012 |
|---|---|
| Doing Business As | GREENBRIER DENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | DANIEL M ETHERIDGE President 757-547-2266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |