| NPI | 1699193466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFTON L HARRIS Owner / Dentist 434-989-3712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: CO 10573) |
| Enumeration Date | 2014-03-30 |
| Last Update Date | 2014-03-30 |