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 |