| NPI | 1417116526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FLOWERS President 804-639-6445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401411465) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |