| NPI | 1831434091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT BARROWS President 340-776-4537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: VI 1139) |
| Additional Taxonomies | 126800000X Dental Assistant |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |