| NPI | 1477767150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ODIE A. WHITLOW Dentist 804-222-3310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004181) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-25 |