NPI | 1295008985 |
---|---|
Entity Type | Organization |
Authorized Contact | TONYA ADRENA PARRIS-WILKINS President 804-520-5009 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401411798) |
Enumeration Date | 2012-02-12 |
Last Update Date | 2012-02-12 |