| NPI | 1114391760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN THOMAS GEARY Dentist 757-898-4661 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401411865) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |