| NPI | 1639360274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER D. FELTON Dentist 804-271-9321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 04010006407) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2007-08-08 |