| NPI | 1326171661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE LEIBOWITZ President 757-424-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 06098) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2008-05-21 |