| NPI | 1851684310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD FRANKLIN BANKS Partner Dentist 757-872-9907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: VA 0401007480) |
| Enumeration Date | 2011-05-17 |
| Last Update Date | 2011-05-17 |