| NPI | 1851051320 |
|---|---|
| Doing Business As | RESTORE DENTAL |
| Entity Type | Organization |
| Authorized Contact | SHANE AUGUST President 757-490-7866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2021-12-27 |
| Last Update Date | 2021-12-27 |