| NPI | 1093996456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ROBERT PARROTT Owner 757-249-8921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401006332) |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |