| NPI | 1558716282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAYMOND HANLEY Dentist Owner 804-530-3539 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401006683) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2017-01-19 |