| NPI | 1215958541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY C MCVAY Office Manager 434-792-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0106X Dentist, Oral and Maxillofacial Pathology |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |