| NPI | 1518187061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD EVANS CADE Dentist 804-233-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005399) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |