| NPI | 1194485748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EBONY DEANNA REED Orthodontist 434-447-6481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2021-12-22 |
| Last Update Date | 2021-12-28 |