| NPI | 1366865248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHABANA ZAHIR President 757-962-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412167) |
| Enumeration Date | 2014-01-28 |
| Last Update Date | 2014-01-28 |