NPI | 1306169552 |
---|---|
Entity Type | Organization |
Authorized Contact | LAYMON ALLEN SALYER President 757-488-8853 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 401005192) |
Enumeration Date | 2010-03-02 |
Last Update Date | 2010-03-02 |