| NPI | 1316410343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM R HATCHER Orthodontist 757-488-6080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2019-01-02 |