| NPI | 1841339553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN ANDREW SAROFF President 804-272-9079 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223P0300X Dentist, Periodontics (Licence: VA 0401004190) |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2020-08-22 |