| NPI | 1154514743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE A. KLAR Sole Proprietor 757-495-3110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 4256) |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2007-08-27 |