| NPI | 1578753976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER T LIBBEY Dentist 434-846-4948 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410859) |
| Additional Taxonomies | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410857) |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2007-07-31 |