| NPI | 1407398969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE GARCIA General Counsel And Compliance Dir. 804-304-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2016-11-14 |