| NPI | 1689129215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL I FURMAN Owner/Dentist 757-468-4684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401005228) |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2016-08-24 |