| NPI | 1285870188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE BROWN SMITH General Dentist 757-424-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411605) |
| Enumeration Date | 2008-12-23 |
| Last Update Date | 2008-12-23 |