| NPI | 1366460107 |
|---|---|
| Doing Business As | PEDIATRIC DENTISTRY AND ORTHODONTICS OF VIRGINIA |
| Entity Type | Organization |
| Authorized Contact | CAROL ROPER Practice Administrator 804-739-0963 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401004876) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401410240) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401007234) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410225) | |
| 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401004475) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2011-02-11 |