| NPI | 1598014284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA ANDRIANA SACHNO President 757-621-7698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410632) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |