| 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 |