| NPI | 1104923259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BEYER HAMER President 434-296-0188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401002444) |
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401006863) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |