| NPI | 1720279151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN BROWN Owner/Dentist 804-323-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401411244) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |