| NPI | 1205321239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZAID AL-SAMIR Owner 804-739-5791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401414771) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2018-06-22 |