NPI | 1023154960 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON FREELAND HARRIS Pres Sec 804-744-4335 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008937) |
Enumeration Date | 2007-01-29 |
Last Update Date | 2020-08-22 |