| NPI | 1790964286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP JOSEPH RENDER Doctor 804-684-9971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: VA 0401008390) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2008-06-20 |