| NPI | 1750495487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES L STANLEY President 434-385-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: VA 0401005641) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2020-08-22 |