| NPI | 1053372151 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | STEPHEN SCOTT YOUNG President/Dentist/Owner 804-741-2812  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006922)  | 
| Enumeration Date | 2006-03-29 | 
| Last Update Date | 2011-09-14 |