NPI | 1366636771 |
---|---|
Entity Type | Organization |
Authorized Contact | GILBERT J FREY Dentist 757-253-0400 |
Organization Subpart ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401004237) |
Additional Taxonomies | 122300000X Dentist |
Enumeration Date | 2007-08-29 |
Last Update Date | 2007-08-29 |