| NPI | 1316123458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL F MORGAN President 757-220-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental (Licence: VA 0401008273) |
| Enumeration Date | 2008-01-19 |
| Last Update Date | 2008-01-19 |