| NPI | 1013182062 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P. BONESTEEL President 804-684-9905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA BB3838969) |
| Enumeration Date | 2008-04-29 |
| Last Update Date | 2023-09-07 |