| NPI | 1861690901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORETTA KAREN RUBENSTEIN Doctor/Owner 757-874-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: VA 0401005748) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2007-07-10 |