| NPI | 1477098960 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH MERKEL Insurance Manager 757-965-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008873) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2017-02-14 |