| NPI | 1346613528 |
|---|---|
| Former Legal Business Name | HANBURY PEDIATRIC DENTISTRY |
| Doing Business As | HANBURY PEDIATRIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | GRACE O DAVIS Business Administrator 757-369-1754 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410912) |
| Enumeration Date | 2015-11-10 |
| Last Update Date | 2019-04-12 |