| NPI | 1487827945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIUSEPPE REBELLATO President 434-984-1817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401007829) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |