| NPI | 1093257693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KITTRELL Owner/Dentist 804-359-6471 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 5949) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |