| 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 |