| NPI | 1164846564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL TRUDEAU Endodontist 757-638-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 401411970) |
| Enumeration Date | 2014-02-06 |
| Last Update Date | 2014-02-06 |