| NPI | 1609925908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT GORE President Of Corporation 804-794-4588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 7262) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-09-15 |