| NPI | 1730323783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAIBHAVI S PATEL Dentist/President 434-797-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401412342) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2021-11-24 |