| NPI | 1649443706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JAMES MEALY President 757-543-7973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005058) |
| Enumeration Date | 2008-04-10 |
| Last Update Date | 2008-04-10 |