NPI | 1467903104 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIOT WILLIAM BIRD Dentist/Owner 804-550-1222 |
Organization Subpart ? | Yes |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007232) |
Enumeration Date | 2016-10-18 |
Last Update Date | 2016-10-18 |