| NPI | 1598944472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA SUSAN JAMES Director 757-227-3401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401008832) |
| Enumeration Date | 2007-10-29 |
| Last Update Date | 2007-10-29 |