| NPI | 1144235946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R BEAM Owner 804-717-5100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006513) |
| Enumeration Date | 2006-07-30 |
| Last Update Date | 2020-08-22 |