NPI | 1538350434 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRIE KATHERINE BURTON Office Manager 804-739-9191 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007459) |
Enumeration Date | 2007-08-06 |
Last Update Date | 2007-08-06 |