| NPI | 1174981856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHITAL N PATEL Pediatric Dentist 804-517-0117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401413587) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |