NPI | 1194848200 |
---|---|
Entity Type | Organization |
Authorized Contact | SAM E ENGLISH Dentist 804-843-3233 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004082) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |