| NPI | 1306030929 |
|---|---|
| Doing Business As | CROSSRIDGE FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | MAJD J BABIK Owner 804-755-8050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: VA 0401410851) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |