| NPI | 1700165974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD A MENDELSOHN Practice Owner 757-424-1976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401003992) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2011-08-05 |