| NPI | 1023122264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN W FOSTER President/Dentist 757-484-8564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 3955) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2011-10-31 |