| NPI | 1144408170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE ARCHER LUKOMSKI Office Manager 804-288-4103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007800) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |