| NPI | 1558695106 |
|---|---|
| Doing Business As | THE CENTER FOR COSMETIC & RESTORATIVE DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TANYA BROWN Owner/Dentist 757-546-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2009-09-30 |
| Last Update Date | 2009-09-30 |