NPI | 1356496327 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL S. DENBAR Dentist Owner 757-382-9336 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007664) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2012-07-25 |