| NPI | 1124090535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH ELLIOTT SAVAGE President 757-499-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 4706) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2020-08-22 |