| NPI | 1083886600 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD FREEMAN ROSS President 804-730-9444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-03-25 |