| NPI | 1851730006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEHMI P LEE Member/Vice President 804-601-4211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: VA 0401413213) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2013-06-20 |