| NPI | 1346379278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN D NACHMAN President 757-422-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401006697) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2020-08-22 |