| NPI | 1174546550 |
|---|---|
| Other Name | NA |
| Entity Type | Organization |
| Authorized Contact | NORMAN PATRICK MOORE President 757-461-8760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 2573) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2020-08-22 |