| NPI | 1376038604 |
|---|---|
| Doing Business As | AUTUMN DENTAL |
| Entity Type | Organization |
| Authorized Contact | COLLEEN ALLEN Manager 434-444-5968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center Dental |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2018-06-28 |