| NPI | 1336661651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD TRORRENCE JONES Owner 434-250-5143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412833) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412833) |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |