| NPI | 1568483642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CIELO TORRES Office Manager 757-498-6420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007050) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2008-03-06 |