| NPI | 1053821983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA PAIGE DOWNS Dentist 757-428-8404 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401410185) |
| Enumeration Date | 2017-10-05 |
| Last Update Date | 2017-10-12 |