| NPI | 1184037483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BURKE Pediatric Dentist Owner 804-562-2667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401413575) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2014-06-04 |