| NPI | 1164238259 |
|---|---|
| Doing Business As | PERIODONTAL HEALTH ASSOCIATES PC |
| Entity Type | Organization |
| Authorized Contact | RYAN CHRISTOPHER ANDERSON President 434-455-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics |
| Enumeration Date | 2024-12-04 |
| Last Update Date | 2024-12-04 |