| NPI | 1215481601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOBIA N CARTER Owner 804-729-8081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410866) |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2016-08-15 |