| NPI | 1629346499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEDA HOVAIZI Dentist 434-531-5817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: MA DN1855605) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2011-12-08 |