NPI | 1578587168 |
---|---|
Entity Type | Organization |
Authorized Contact | HERBERT NEAL DAVIS President 276-523-2691 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004224) |
Enumeration Date | 2006-07-27 |
Last Update Date | 2020-08-22 |