| NPI | 1417977265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT THEWS Doctor/Owner 804-794-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 4252 & 0401411077) |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2023-03-07 |