| NPI | 1689843955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES E. GASKINS Owner / Pres. 804-794-9611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401-005791) |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |