NPI | 1073786299 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PATRICK MCQUADE Owner 804-379-7855 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 1140507) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2008-06-19 |