| NPI | 1851584601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES T RICKMAN Owner Dentist 804-744-9622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007494) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2007-08-24 |