| NPI | 1346307162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | P STUART COX Prisident 804-222-8140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004993) |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |