| NPI | 1700159795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM GEORGE HORBALY Owner/Sole Proprieter 434-973-6542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401006956) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-22 |