| NPI | 1386038610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN SIMPSON REYNOLDS President/Owner 804-282-8712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401413636) |
| Enumeration Date | 2015-03-25 |
| Last Update Date | 2015-03-25 |