| NPI | 1790174654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ANNE BROWN Director Of Operations 757-784-8070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401007257) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |