| NPI | 1639575913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN P SNOW President 434-793-2045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 907429) |
| Enumeration Date | 2014-11-13 |
| Last Update Date | 2014-11-13 |