NPI | 1043466089 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH BERNARD BOYD Owner 757-558-9008 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007988) |
Enumeration Date | 2008-08-11 |
Last Update Date | 2008-08-11 |