| NPI | 1386058451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL W MILLER Dentist/Owner 434-432-0610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412826) |
| Enumeration Date | 2014-06-17 |
| Last Update Date | 2014-06-17 |