| NPI | 1750729596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN C. JI Doctor 804-520-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401410425) |
| Enumeration Date | 2013-06-13 |
| Last Update Date | 2013-06-13 |