| NPI | 1720293467 |
|---|---|
| Former Legal Business Name | CRIPPLED CHILDREN'S HOSPITAL |
| Entity Type | Organization |
| Authorized Contact | ROBIN CROTTS Director 804-228-5202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: VA H1842) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2021-06-15 |