| NPI | 1700078573 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL A ARAUJO Office Manager 804-288-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 007164) |
| Additional Taxonomies | 122300000X Dentist (Licence: VA 007371) |
| 122300000X Dentist (Licence: VA 10159) | |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |