| NPI | 1386736247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL GAINES KENDRICK Office Manager 804-741-2226 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist Pediatric Dentistry (Licence: VA 0401006142) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-12-09 |