| NPI | 1427454552 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BALDWIN CULPEPPER General Dentist 804-873-9559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401412784) |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |