| NPI | 1326371048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERMAN OWEN SMOCK President 434-455-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 005531) |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2009-09-14 |