| NPI | 1285056648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES LEE MUNCY Owner/Dentist 804-290-0490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007574) |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2014-01-20 |