NPI | 1437299419 |
---|---|
Doing Business As | WILLIAMSBURG DENTAL GROUP |
Entity Type | Organization |
Authorized Contact | CORYDON B BUTLER Vice President 757-229-7210 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Additional Taxonomies | 124Q00000X Dental Hygienist |
Enumeration Date | 2007-02-07 |
Last Update Date | 2020-08-22 |