| NPI | 1043499809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | R. SCOTT KNIERIM Dentist Owner 434-973-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 5008) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2008-06-16 |