| NPI | 1629098199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID B PEMBERTON Doctor Of Dental Surgery 804-233-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005552) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2010-09-02 |