| NPI | 1639607914 |
|---|---|
| Doing Business As | CHILDREN'S DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | ANDREW C GIBSON Owner/Pediatric Dentist 804-321-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA 0401414509) |
| Enumeration Date | 2017-05-31 |
| Last Update Date | 2017-05-31 |