| NPI | 1275722936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R CORNETTE General Dentist 757-827-7770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005441) |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2007-10-18 |