| NPI | 1689243537 |
|---|---|
| Other Name | LUCY CORR DENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | TAMMY HOLBERT SHACKELFORD Executive Director 804-467-2255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223D0001X Dentist, Dental Public Health |
| Enumeration Date | 2021-06-23 |
| Last Update Date | 2021-07-01 |