| NPI | 1376569970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A FIRER Business Manager 434-977-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007877) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |