| NPI | 1174074256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD STEVEN VACCA Dentist/Owner 804-739-9191 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401007459) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |