| NPI | 1356860134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ZIMA Dentist/Owner 804-339-6957 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401412165) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |