| NPI | 1821368747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E KROCHMAL President 757-440-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: VA 0401006703) |
| Enumeration Date | 2012-01-09 |
| Last Update Date | 2012-02-29 |