| NPI | 1548782873 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LUKE WINTER Pediatric Dentist, Owner 757-482-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry |
| Enumeration Date | 2017-07-07 |
| Last Update Date | 2022-07-21 |