| NPI | 1629109640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY LEE POSENAU President 804-730-1424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005513) |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |