| NPI | 1669491544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUIS CRAIG PERON President/Endodontist (Owner) 757-467-2102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401004795) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |