| NPI | 1184775397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C JI Orthodontist 804-520-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 1410425) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2020-08-22 |