NPI | 1528356078 |
---|---|
Entity Type | Organization |
Authorized Contact | CAMPBELL S DELK President 804-747-9511 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004326) |
Enumeration Date | 2011-07-19 |
Last Update Date | 2015-01-05 |