| NPI | 1851455349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH L LASCARA Insurance Manager 757-587-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401004149) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |