| NPI | 1114211919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITSU JOSHI Owner/Sole Member 804-672-7070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411436) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2011-06-09 |