| NPI | 1083010474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH E STONER President 804-282-4279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005143) |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2014-11-18 |