| NPI | 1629581715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR ABUHAJLEH Doctor/Dentist 804-918-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412655) |
| Enumeration Date | 2017-11-10 |
| Last Update Date | 2017-11-10 |