| NPI | 1700183241 |
|---|---|
| Doing Business As | COLONIAL HEIGHTS DENTAL |
| Entity Type | Organization |
| Authorized Contact | JOHN EDWARD MONSMAN General Dentist/Manager 804-526-0807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VA 0401411217) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |