| NPI | 1437403797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ETHERIDGE KENT Owner 757-631-9700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005741) |
| Enumeration Date | 2012-11-07 |
| Last Update Date | 2012-11-07 |