| NPI | 1649305467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA BREDOLOGOS MENDRINOS President 757-425-1828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007153) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |