| NPI | 1780828855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH RYAN BLANCHARD Dentist Owner 757-321-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401410872) |
| Enumeration Date | 2009-04-20 |
| Last Update Date | 2011-01-13 |