NPI | 1558547802 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN C BROWN General Partner 804-288-5324 |
Organization Subpart ? | No |
Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 5281) |
Enumeration Date | 2008-01-17 |
Last Update Date | 2008-06-11 |