| NPI | 1538255492 |
|---|---|
| Doing Business As | MILL DAM DENTAL CARE |
| Entity Type | Organization |
| Authorized Contact | JEFFREY R LEIDY Owner President 757-463-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401006498) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2020-08-22 |