| NPI | 1326194762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT DRAKE COVEY Dentist 434-239-6948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401005417) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401004221) |
| Enumeration Date | 2007-01-26 |
| Last Update Date | 2010-09-29 |