NPI | 1609006865 |
---|---|
Doing Business As | DOMINION ENDODONTICS |
Entity Type | Organization |
Authorized Contact | BRUCE WAYNE OVERTON President/Owner 804-744-3636 |
Organization Subpart ? | No |
Primary Taxonomy | 1223E0200X Dentist, Endodontics |
Enumeration Date | 2009-07-22 |
Last Update Date | 2009-07-22 |