| NPI | 1043266588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ANTHONY ROSSETTI Owner 804-747-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007401) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401007631) |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2020-08-22 |