NPI | 1538542428 |
---|---|
Entity Type | Organization |
Authorized Contact | ASHLYN ALLGOOD PRICE Owner 804-432-5771 |
Organization Subpart ? | No |
Primary Taxonomy | 122300000X Dentist (Licence: VA 0401414863) |
Additional Taxonomies | 122300000X Dentist (Licence: VA 0401414858) |
Enumeration Date | 2015-07-09 |
Last Update Date | 2015-07-09 |