| NPI | 1316175383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS JOHN HUGHES President 757-583-1212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005733) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401412532) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2009-06-29 |