| NPI | 1467905851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN S. MCANDREW Owner 804-741-8689 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401008709) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |