| NPI | 1841462082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY P HAIRSTON Dentist 434-792-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401006155) |
| Enumeration Date | 2008-03-27 |
| Last Update Date | 2008-03-27 |