| NPI | 1184693004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH H. B. ANDERSON President 804-285-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401008749) |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2016-07-20 |