NPI | 1326134321 |
---|---|
Doing Business As | INNSBROOK FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | GEORGE VARKEY PLATHOTTAM President 804-270-9989 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |