| NPI | 1184854648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANDERSON LEE Owner/Dentist 804-288-4526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 7469) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2009-07-19 |