| NPI | 1841463379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE CHANDLER Office Manager 804-320-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA VA0401411042) |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2008-04-04 |