| NPI | 1629190541 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD JAMES ZELAZNY Owner Dentist 804-627-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401008874) |
| Additional Taxonomies | 1223G0001X Dentist General Practice (Licence: VA 0401008890) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2020-08-22 |