| NPI | 1821018342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROCKTON ARTHUR LIVICK President 804-282-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 5374) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2020-08-22 |