| NPI | 1639344641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFRED JOSEPH CERTOSIMO Chair, Dept. Of General Practice 804-828-2977 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401008264) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |