| NPI | 1861797326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMESHA DANIELLE MORRIS Dentist 804-690-3005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: VA 0401410848) |
| Enumeration Date | 2011-01-14 |
| Last Update Date | 2011-01-14 |