| NPI | 1568561900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN E KENT Dentist 757-499-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005418) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: VA 0401006401) |
| 1223P0700X Dentist, Prosthodontics (Licence: VA 0401008797) | |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |