| 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 |