| NPI | 1477745776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAYME DAVID TOMCHIK President 757-460-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007935) |
| Enumeration Date | 2007-08-10 |
| Last Update Date | 2009-06-17 |