| NPI | 1306032610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES W HOLLEY Owner/President 757-595-3503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0470107431) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |