NPI | 1013375682 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN DAVID DUNHAM Owner Dentist 804-748-5105 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414462) |
Enumeration Date | 2016-02-10 |
Last Update Date | 2016-02-10 |