| NPI | 1104018803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M PEERY Owner 434-847-5331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401004914) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2008-02-25 |