| NPI | 1215338959 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVIS GARDNER Owner 804-823-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA VA0401412847) |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |