| NPI | 1841371754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JAMES ANDRE President 804-346-8330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401006801) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |