NPI | 1164558201 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN HOBART SPEEGLE President 757-564-8942 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005436) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401005826) |
Enumeration Date | 2007-02-25 |
Last Update Date | 2020-08-22 |