| NPI | 1720093693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY H BURRUSS Office Manager 434-971-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA S4157/ W8596) |
| Enumeration Date | 2006-07-29 |
| Last Update Date | 2022-07-21 |