| NPI | 1295964955 |
|---|---|
| Doing Business As | HANOVER PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW D ZIMA Pediatric Dentist 804-746-7382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401412165) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401411085) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-10-11 |