| NPI | 1255683751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M BRONSON President 434-202-7125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401006161) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2012-11-20 |