NPI | 1245494319 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELE GAY Receptionist 757-337-0451 |
Organization Subpart ? | No |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401412222) |
Enumeration Date | 2008-07-17 |
Last Update Date | 2008-07-17 |