| NPI | 1285643007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK JOHN FREEMAN Dentist Owner 804-270-3080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 7433) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2020-08-22 |