| NPI | 1609318765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CIRCEO Dentist/Owner 804-262-9824 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007452) |
| Enumeration Date | 2016-11-07 |
| Last Update Date | 2016-11-07 |