NPI | 1609506773 |
---|---|
Entity Type | Organization |
Authorized Contact | GUSTAV HORSEY Owner/Orthodontist 804-672-3030 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2022-06-13 |
Last Update Date | 2022-06-13 |