| NPI | 1487873196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH W MEI Officer 804-427-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401008096) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |