| NPI | 1114079480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROMAN T HAUEIS Dentist / Owner 804-747-0116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007159) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401008563) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2021-04-28 |