| NPI | 1346431939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN J BECKER President/Dentist 757-838-7879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 004014597) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2007-11-20 |