| NPI | 1386011617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY G FRIDLEY Financial Coordinator 804-740-1297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2015-08-21 |
| Last Update Date | 2015-08-21 |