| NPI | 1265863146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WRAY W CHAFFIN Owner/Dentist 276-386-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007876) |
| Enumeration Date | 2013-12-03 |
| Last Update Date | 2013-12-03 |