| NPI | 1356833404 |
|---|---|
| Other Name | PENINSULA FAMILY DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ALLAN HEATH CASH Owner/Dentist 757-874-8612 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411255) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401411255) |
| Enumeration Date | 2018-06-05 |
| Last Update Date | 2018-06-05 |