| NPI | 1730321118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE ANN BACH Owner/Dentist 804-717-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401410899) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |