| 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 |