| NPI | 1255515367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIE GOFF Office Manager 434-947-5915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2007-12-26 |