| NPI | 1174075436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER D FELTON Dentist/Owner 804-717-2099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006407) |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |