NPI | 1366855207 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINA DELZINGARO Executive Director 434-847-5866 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QD0000X Clinic/Center, Dental |
Enumeration Date | 2014-06-09 |
Last Update Date | 2014-06-09 |